Al-Saadi N, Al-Musawi S, Khan Y, Dawam D. An unusual presentation of prostate cancer posing a diagnostic dilemma: A case report.
Urol Case Rep 2020;
34:101432. [PMID:
33088717 PMCID:
PMC7558784 DOI:
10.1016/j.eucr.2020.101432]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Revised: 09/20/2020] [Accepted: 09/27/2020] [Indexed: 11/24/2022] Open
Abstract
Sarcomatoid carcinomas are a rare type of prostate cancer and are associated with a poor prognosis. We present the case of an 80-year-old gentleman who presented with rectal bleeding and his CT scan revealed an incidental pelvic cystic mass. He initially underwent attempted ultrasound-guided drainage and transurethral resection for this. Definitive management was a radical surgery. Histological findings confirmed that the morphological features favoured a sarcomatoid prostate cancer rather than a primary sarcoma, as was thought. Unusual presentations of pathologies may be encountered during our practice and present a challenge. A methodological approach is required to ensure positive outcomes.
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