A parasymphyseal pubic cartilaginous cyst masquerading as a chondrosarcoma

Tan, T.J.; Wong, S.K.; Foo, Leon Siang Shen

doi:10.1016/j.crad.2011.12.001

Cited by 7 publications

(9 citation statements)

References 7 publications

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“…Because of the lack of a synovial membrane, the joint is not affected by synovial disease [1] and cystic changes are an uncommon finding [3]. Differential diagnoses could include a subchondral symphysis pubis cyst and a chondrosarcoma [4,8]. Previous studies have suggested that MRI or computed tomography (CT) scans are the most appropriate imaging modalities in detecting and diagnosing cartilaginous cysts.…”

Section: Discussionmentioning

confidence: 99%

“…As the patient was currently functioning sexually, albeit at a reduced level, it was decided that watchful waiting was the correct course of action due to the risk of damage to the corpora and other structures. The literature suggests that imaging and biopsy follow‐up can rule out malignancy and avoid unnecessary and potentially damaging surgical intervention [4,5]. However, in some of the female cases, excision was considered appropriate [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…Subpubic cartilaginous cysts (SCCs) are rare and reported as associated with the degenerative changes in mature, multiparous women [1,2]. The symptoms noted in these women are of a vulva mass, urinary symptoms, and abdominal pain [1–5]. We present a case of a 69‐year‐old man who experienced neurological and sexual symptoms due to a subpubic cystic lesion suggestive of (or compatible with) an SCC.…”

Section: Introductionmentioning

confidence: 99%

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A Subpubic Cartilaginous Cyst Causing Neurological and Sexual Symptoms in a 69-Year-Old Man

Wylie

Griffiths

Pye

et al. 2014

The Journal of Sexual Medicine

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Introduction Subpubic cartilaginous cysts (SCCs) are rare. Aim This is the first reported case of a male patient presenting with neurological and sexual symptoms due to an SCC. Method We describe the clinical history of a patient who reported neuralgic pain, numbness in the groin and base of his penis, and loss of sexual function. Results A magnetic resonance imaging revealed the presence of an SCC with associated mass effect. A conservative approach was adopted and within 12 months, the cyst had decreased in size and his symptoms had improved. Conclusions Men who present with erectile dysfunction and neurological symptoms merit a thorough assessment including appropriate investigation to exclude organic pathology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Subpubic Cartilaginous Cyst Causing Neurological and Sexual Symptoms in a 69-Year-Old Man

Wylie

Griffiths

Pye

et al. 2014

The Journal of Sexual Medicine

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“…The mucinous and chondrocytic elements of the subpubic or parapubic cartilaginous pseudocyst give the lesion its radiologic features [4]. However, Tan et al [5] believe that a parasymphyseal pubic cartilaginous cyst may have radiological features that may mimic a pelvic girdle chondrosarcoma. Therefore, they suggested taking a biopsy for histopathologic work-up with regular followup imaging of the lesion to avoid unnecessary surgical interference.…”

Section: Discussionmentioning

confidence: 99%

“…The complaints of the patients were either painful or painless vulvar mass, dyspareunia, or obstructive voiding symptoms up to acute urinary retention. Most of these patients underwent surgical excision of their cysts, although some other patients [5, 8] were conservatively treated with followup MRI to monitor any change in the size or criteria of their cysts.…”

Section: Discussionmentioning

confidence: 99%

Subpubic Cartilaginous Pseudocyst: Orthopedic Feature with Urological Consequences

Farag

Geest

Kaa

et al. 2014

Case Reports in Urology

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Introduction. Masses arising from structures adjacent to the female urethra can cause obstructive urinary symptoms. Subpubic cartilaginous pseudocyst is a rare degenerative lesion of pubic symphysis that may cause these symptoms. Materials and Methods. A 61-year- and 57-year-old women presented with symptoms of difficult micturition and dyspareunia. Physical examination revealed a painless smooth, rounded, firm, and cystic mass, at the anterior vaginal wall of about 4 cm width. The mass caused inward deviation of the external urethral meatus. Cystoscopy and MRI were done. Results. Cystoscopy of case 1 (61 y) demonstrated anterior external urethral compression with normal urethral mucosa. Cystoscopy was not possible in case 2 (57 y) because the urethra could not be entered under local anesthesia. MRI showed almost the same findings in both cases: midline, rounded, and cystic mass ~3 × 3 × 4 cm, anterosuperior to the urethra, and posteroinferior to the pubic symphysis, with normal features of the urinary bladder. Open surgical excision of theses lesions was performed in both patients. Histopathologic assessment of the specimen obtained from both patients showed degenerated hyaline with areas of fibrinous and mucoid degeneration, a picture suggestive of cartilaginous subpubic pseudocyst. After 11-month and 4-month followup of patients numbers 1 and 2, respectively, there is no evidence of local recurrence of the lesion, either clinically or radiologically and both patients void empty. Conclusions. Subpubic cartilaginous pseudocysts are rare benign lesions with only 13 cases were reported in the literature. Patients present with a spectrum of gynecological and/or urological manifestations. Sizable lesions severely compressing the urethra need surgical excision to restore the voiding function.

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Rare case of retropubic parasymphyseal cyst in a male patient

et al. 2021

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Introduction Retropubic parasymphyseal cysta are rare, and few cases have been reported in men. Case presentation A 65‐year‐old male patient presented with a 6‐month history of pelvic and perineal pain. Magnetic resonance imaging revealed a high‐intensity, irregular‐shaped mass extending from the pubic symphysis to the bladder. Contrast enhancement revealed no uptake in the central part of the mass, indicating a cystic component. Computed tomography showed erosion of the pubic symphysis and pubic osteophytes. Pathological findings of biopsy specimens revealed inflammatory fibrous tissue but no malignancy. The definitive diagnosis was retropubic parasymphyseal cyst associated with inflammation. The patient was treated with cefazolin from 1 day before surgery until postsurgical day 7. Oral antibiotic therapy was then prescribed for 1 month to maximize treatment. After 2 months, the patient’s symptoms resolved. Conclusion Retropubic parasymphyseal cysts with inflammation and smaller asymptomatic cysts can be managed effectively with conservative or minimally invasive treatment.

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A parasymphyseal pubic cartilaginous cyst masquerading as a chondrosarcoma

Cited by 7 publications

References 7 publications

A Subpubic Cartilaginous Cyst Causing Neurological and Sexual Symptoms in a 69-Year-Old Man

A Subpubic Cartilaginous Cyst Causing Neurological and Sexual Symptoms in a 69-Year-Old Man

Subpubic Cartilaginous Pseudocyst: Orthopedic Feature with Urological Consequences

Rare case of retropubic parasymphyseal cyst in a male patient

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