Incidental Prostate Carcinoma Diagnosed at Radical Cystoprostatectomy for Bladder Carcinoma
A Case Report
Keywords:
Carcinoma prostate, Cystoprostatectomy, Incidental, Urothelial carcinoma bladder
Abstract
Introduction: The incidence of concomitant urothelial carcinoma of the bladder and adenocarcinoma of the prostate varies from 17% to 70% as per various literature studies. Case report: We report the case of 82 year old male who presented with hematuria and lower urinary tract symptoms. A cystoscopy was performed which was suggestive of a 6x4x5cm mass arising from the left anterolateral wall and dome of the bladder. A Transurethral biopsy of the bladder mass showed a high grade papillary urothelial carcinoma invading the muscularis propria. Following this, the patient underwent a radical cystoprostatectomy. Histopathological examination of the bladder mass confirmed High -grade urothelial carcinoma. The entire prostate was sampled which revealed Adenocarcinoma prostate, Gleason score 3+4=7, tumor volume 6cc. Conclusion: The incidence of incidentally detected prostatic adenocarcinoma in Carcinoma bladder cases is extremely variable. Complete sampling of the prostate helps in detecting these lesions.References
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2.Heidegger I, Oberaigner W, Horninger W, Pichler R. High incidence of clinically significant concomitant prostate cancer in patients undergoing radical cystectomy for bladder cancer: a 10-year single center experience. Urol Oncol 2017;35:152e1-e5.
3. Saad M, Abdel-Rahim M, Abol-Enein H, Ghoneim MA. Concomitant pathology in the prostate in cystoprostatectomy specimens: a prospective study and review. BJU Int 2008;102:1544-50.
4.Kaelberer JB, O'Donnel MA, Mitchell DL et al. Incidental prostate cancer diagnosed at radical cystoprostatectomy for bladder cancer: disease specific outcomes and survival. Prostate Int 2016;4:107-12.
5.Autorino R, Lorenzo GD, Damiano R et al. Pathology of prostate in radical cystectomy specimens: a critical review. Surg. Oncol. 2009;18:73-84.
6. Tanaka T, Koie T, Ohyama C et al. Incidental prostate cancer in patients with muscle-invasive bladder cancer who underwent radical cystoprostatectomy. Jpn J Clin Oncol. 2017;47:1078-1082.
7. Pan J, Xue W, Sha J et al. Incidental Prostate Cancer at the Time of Cystectomy: The Incidence and Clinicopathological Features in Chinese Patients. PLoS One. 2014;9(4):e94490.
8. Mahadik R, Bijalwan P, Thomas A. Prevalence and Pathological Analysis of Adenocarcinoma Prostate Discovered Incidentally in Radical Cystoprostatectomy Specimen: An Indian Center Experience. Journal of Clinical and Diagnostic Research. 2018;12:XC01-XC03.
Published
2020-03-12
Issue
Section
Case Report
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