A Large Posteriorly Located Prostatic Mass Lesion Challenging the Robotic Surgeon: Prostate Leiomyoma

Abstract

Background: Prostatic leiomyoma is a benign and rare condition of the prostate. Robotic surgery is increasingly being applied in the surgical management of prostate cancer.Case Presentation: Herein, a mass lesion that was located in the posterior part of the prostate between seminal vesicles that was identified during robotic surgery is presented. This lesion further challenged the console surgeon during performing a robotic radical prostatectomy procedure for a 200 g large prostate with prostate cancer.Conclusion: Prostatic leiomyomas that are benign mesenchymal smooth muscle tumors might present as a posteriorly located mass lesion between seminal vesicles that could challenge the surgeon during surgery, which should be kept in mind.

Leiomyoma of the prostate: A case report and systematic review

“…After the selection procedure according to PRISMA (Figure 4), a total of 21 studies were included in our systematic review (1,2,4,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23). There were 35 cases of leiomyoma of the prostate included for analysis and characteristics of the cases are shown in Table 1.…”

Prostatic Leiomyoma: An Uncommon Diagnosis Found in Clinically Suspected Cases of Severe Benign Prostatic Hyperplasia Without Elevated Serum Total Prostate-Specific Antigen Levels

“…A review of the published literature on leiomyomas identified six [3][4][5][6][7][8], single-patient case reports of elderly (age range: 54-82 years) males diagnosed with a prostatic leiomyoma [3][4][5][6][7][8]. All but one case report have PSA levels reported ( Two of the case reports mentioned the administration of alpha-blockade agents to treat BPH [5,6]. All patients presented with prostamegaly and a presumptive diagnosis of BPH, with the exception of one who had a known biopsy-proven adenocarcinoma [5].…”

“…All but one case report have PSA levels reported ( Two of the case reports mentioned the administration of alpha-blockade agents to treat BPH [5,6]. All patients presented with prostamegaly and a presumptive diagnosis of BPH, with the exception of one who had a known biopsy-proven adenocarcinoma [5]. In three reports, patients presented with acute urinary retention and two with gross hematuria [4,6,7].…”

Prostatın Pür Leiomyomu: Olgu Sunumu

“…Nokturi ve dizüri en sık görülen klinik bulgulardır. Serum PSA düzeyi bu olgularda genellikle normaldir; leiomyoma eşlik eden adenokarsinom veya seminal vezikül lokalizasyonlu leiomyom olgularında ise yüksek serum PSA düzeyi gözlemlenebilir (5,6). Olgumuzun yaşı 77 idi ve infravezikal obstrüksiyon semptomları ile kliniğe başvurmuştu; serum PSA düzeyi normaldi.…”

“…Kalın iğne biyopsisi uygulanan prostat leiomyomu olgularında düşük dereceli malignitelerin ekarte edilmesinde zorluk yaşandığı, böylece hastaya radikal prostatektomi ve bölgesel lenf nodu disseksiyonu gibi geniş çaplı cerrahi işlemlerin uygulanabildiği rapor edilmiştir (7). Prostat adenokarsinomu ve leiomyomuna eş zamanlı rastlanılması mümkündür (6). Bu nedenle prostat leiomyomu olgularında leiomyom dışı prostat dokusunun dikkatlice incelenmesi gerekmektedir.…”