Presentation
Case Presentation A 70-year-old male patient with a serum prostate specific antigen value of 9.8 ng/mL underwent a transrectal ultrasound (TRUS) guided prostate biopsy. [liebertpub.com]
Prostatic leiomyomas can present with voiding difficulties or obstructive symptoms 1. Complications Complications of prostatic leiomyomas include acute urinary retention 1. [radiopaedia.org]
They are benign mesenchymal tumors without evidence of disease recurrence after surgery.When they present symptomatology, they emulate benign hyperplasia with urinary tract infections. [pesquisa.bvsalud.org]
We describe the case of a 65-year-old male presenting with urinary obstruction for eight months. Per rectal examination revealed an enlarged firm prostate, a trucut biopsy from which showed only stromal tissue. [ijpmonline.org]
Palabras clave: Leiomioma Leiomioma de próstata Tumor benigno de próstata Abstract We present a case of pure prostatic leiomyoma, benign and rare entity, diagnosed in a patient with prostatism. [elsevier.es]
Urogenital
- Hematuria
The exact mechanism is however still unknown.2, 5 Symptoms are similar to those of benign prostatic hyperplasia and include lower urinary tract symptoms, acute urinary retention, etc.2 Two cases reported macroscopic hematuria.4, 5 Less frequently, compression [ncbi.nlm.nih.gov]
Treatment
Prostatectomy was once considered a standard approach for treatment, but now nonsurgical treatment options such as embolization are preferred. Conservative management including surveillance is an option for asymptomatic patients. [pubmed.ncbi.nlm.nih.gov]
We review the published papers about this disease and the differents subjects about ethiology, clinic, histopathology, diagnosis and treatment. keywords: Leiomyoma Prostatic leiomyoma Benign prostatic tumors Article These are the options to access the [elsevier.es]
[…] value, hypointense on ADC) DCE (Gd): homogeneous slow enhancement The radiological report should include a description of the following: form, extent and location of the tumor description of its borders relation to seminal vesicles, bladder and rectum Treatment [radiopaedia.org]
Due to the rarity of the tumor, no comparative studies about its treatment are available. No data about the percentage of malignant transformation were found. [ncbi.nlm.nih.gov]
Treatment options include radical prostatectomy, transurethral resection, and more recently, prostate artery embolization. Conservative management with active surveillance is an option for asymptomatic patients. [jbsr.be]
Prognosis
Prognosis is excellent if excised completely 1-3. More recent options include prostate artery embolization or active surveillance in asymptomatic patients 2,3. [radiopaedia.org]
When complete resection is performed and no cellular atypia is found, this tumor has an excellent prognosis. Conflicts of interest None. References 1. Hossain D., Meiers I., Qian J. Prostatic leiomyoma with atypia: follow-up study of 10 cases. [ncbi.nlm.nih.gov]
Leiomyoma is a benign tumor and has excellent prognosis when complete resection is applied and atypia is not detected.4 On our case, no atypia was reported related with the prostatic leiomyoma. [liebertpub.com]
Etiology
The exact etiology is still unknown. Most lesions are large at diagnosis, leading to symptoms of prostatism (decreased force of urination and other obstructive voiding symptoms), as in benign prostatic hyperplasia. [jbsr.be]
Epidemiology
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations. Aguiar PN Jr, Stock GT, Lopes GL Jr, Almeida MS, Tadokoro H, Gutierres BS, Rodrigues DA. Aguiar PN Jr, et al. [pubmed.ncbi.nlm.nih.gov]
Pathophysiology
Review of the pathophysiology, diagnosis, and therapy of vulvar leiomyoma, a rare gynecological tumor. Sun C, Zou J, Wang Q, Wang Q, Han L, Batchu N, Ulain Q, Du J, Lv S, Song Q, Li Q. Sun C, et al. [pubmed.ncbi.nlm.nih.gov]