Phyllodes tumor of the verumontanum: a case report

Abstract

The current report presents the case of a 42-year-old male with extraordinarily salient urination difficulty that had lasted 6 months. Transrectal ultrasonography and pelvic magnetic resonance imaging demonstrated prostatic hyperplasia and cyst. PSA level was 20.65 (>4) μg/L in the patient. Transrectal prostatic biopsy revealed benign prostatic hyperplasia. He agreed to receive plasmakinetic resection of the prostate. During operation a lobulated lump was unexpectedly found on the verumontanum, with the prostate macroscopically normal. Complete tumor excision was performed and pathological assessment indicated phyllodes tumor of the verumontanum. The patient had an uneventful post-operative course and recovered well. The diagnosis, histological classification, treatment, and prognosis of this case are presented. It is necessary to perform cystoscopy to exclude verumontanum tumor even when all imaging examinations indicate prostate hyperplasia, especially in young males.Virtual SlidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1868931661161758

Phyllodes tumour of the urinary bladder: a report of a unique case

“…Sir : Phyllodes tumours (PT) of the male urogenital tract are rare; to date, fewer than 100 cases have been described in the prostate, and fewer than 15 in the seminal vesicle . They display histological features and clinical behaviour similar to PTs of the female breast; the lesions may be cured by surgical resection but a large proportion exhibit local recurrence, and cases of direct invasion into adjacent organs and widespread metastasis have been reported .…”