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Case Report

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Prostate leiomyosarcoma treatment using three-dimensional reconstruction: a case report and literature review

  • Zhu-Nan Xu1,†
  • Tong Cai1,†
  • Zhong-Bao Zhou2
  • Ji-Tao Wu3
  • Zhen-Li Gao4

1Binzhou Medical University, Yantai, 264003 Shandong, P. R. China and Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, 264000 Shandong, P. R. China

2Department of Urology, Beijing TianTan Hospital, Capital Medical University. No.119 South 4th Ring West Road, Fengtai District, 100070 Beijing, P. R. China

3Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, 264000 Shandong, P. R. China

4Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, 264000 Shandong, P. R. China and Binzhou Medical University, Yantai, 264003 Shandong, P. R. China

DOI: 10.31083/jomh.2021.018 Vol.17,Issue 2,April 2021 pp.148-153

Published: 08 April 2021

*Corresponding Author(s): Zhen-Li Gao E-mail: xzn13791280550@163.com

† These authors contributed equally.

PDF (11.82 MB)

Abstract

Background: Prostate sarcoma is a malignant tumor from the prostate stroma. However, its pathogenesis is unknown. This is a rare type of prostate tumor.

Case Presentation: A rare case of prostate leiomyosarcoma has been described. A 55-year-old prostate leiomyosarcoma patient who suffered from progressive dysuria and frequent urination for half a year was examined. Pathology, immunohistochemical staining, and laparoscopic radical prostatectomy were performed using three-dimensional (3D) reconstruction to diagnose prostate leiomyosarcoma. The patient did not receive adjuvant therapy after the operation. Final pathology was used to confirm prostate leiomyosarcoma. After one year of follow-up, the patient regularly underwent a digital rectal examination and abdominal MRI. However, no tumor recurrence or metastasis was found.

Discussion: We discussed diagnosis and treatment of prostate leiomyosarcoma and reviewd literatures.

Conclusion: Prostate leiomyosarcoma is a rare special type of prostate tumor, and its diagnosis is mainly based on pathological features. Radical excision is the primary treatment for prostate leiomyosarcoma. The 3D reconstruction is essential in the surgery because it can determine the size of the tumor and its relationship to the surrounding tissue. A postoperative adjuvant therapy can also be performed.

Keywords

Prostate leiomyosarcoma; diagnosis; treatment; three-dimensional reconstruction; case report

Cite and Share

Zhu-Nan Xu,Tong Cai,Zhong-Bao Zhou,Ji-Tao Wu,Zhen-Li Gao. Prostate leiomyosarcoma treatment using three-dimensional reconstruction: a case report and literature review. Journal of Men's Health. 2021. 17(2);148-153.

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