Onset of hydronephrosis and lower urinary tract symptoms in a previously healthy young man: Phyllodes tumour of the prostate as a potential diagnosis.

Authors

  • Matteo Ferrari Advanced Urotechnology Center "Istituto Auxologico Italiano", Milan
  • Umberto Capitanio Department of Urology and Urological Research Institute, University Vita–Salute, San Raffaele Hospital, Milan
  • Nathalie Rizzo Department of Pathology, Scientific Institute San Raffaele Hospital, Milan
  • Massimo Freschi Department of Pathology, Scientific Institute San Raffaele Hospital, Milan
  • Francesco Montorsi Department of Urology and Urological Research Institute, University Vita–Salute, San Raffaele Hospital, Milan
  • Patrizio Rigatti Advanced Urotechnology Center "Istituto Auxologico Italiano", Milan

DOI:

https://doi.org/10.5489/cuaj.1984

Keywords:

phyllodes tumor, prostate, hydronephrosis

Abstract

We report the case of a 50-year-old healthy man with early onset of micturition symptoms associated with an elevated total prostate-specific antigen. On physical examination, we found an enlarged prostate; a first-line ultrasound of the urinary tract revealed local disease which covered the entire small pelvis. A computed tomography scan confirmed the presence of a 12.5 × 11.0 × 9.5-cm multicystic prostatic mass, compressing the bladder and pelvic ureters, associated with right hydronephrosis. Renal function was preserved and prostatic biopsies was negative for malignant disease. The mass was completely removed through transvesical approach and histological analysis diagnosed a low-grade phyllodes tumour of the prostate. The patient was free of local recurrence and metastasis 36 months after surgery.

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Published

2014-08-11

How to Cite

Ferrari, M., Capitanio, U., Rizzo, N., Freschi, M., Montorsi, F., & Rigatti, P. (2014). Onset of hydronephrosis and lower urinary tract symptoms in a previously healthy young man: Phyllodes tumour of the prostate as a potential diagnosis. Canadian Urological Association Journal, 8(7-8), e561–3. https://doi.org/10.5489/cuaj.1984

Issue

Vol. 8 No. 7-8 (2014): CUAJ August

Section

Case Report

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