Prostatic leiomyoma in a young man

Abeygunasekera, Anuruddha M; Kumara, M. S. G. R.; Ambegoda, A. M. L. C.; Ranasingha, Dhammika; Sosai, Cherine

doi:10.4038/cmj.v64i2.8893

Cited by 1 publication

(3 citation statements)

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“…It occurs rarely in young men. In our review, only one case was thirty-five years old ( 4 ). In our case report, the patient is a thirty-year-old man.…”

Section: Discussionmentioning

confidence: 89%

“…After the selection procedure according to PRISMA ( Figure 4 ), a total of 21 studies were included in our systematic review ( 1 , 2 , 4 , 6 – 23 ). There were 35 cases of leiomyoma of the prostate included for analysis and characteristics of the cases are shown in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Previous reports have shown that lower urinary tract symptoms are common. These include dysuria, urinary frequency, significant nocturia, urgency, painful micturition and acute urinary retention ( 1 , 4 , 19 ). Gross haematuria is a rare symptom, and in our systematic review, only 3 cases reported gross haematuria ( 10 , 17 , 18 ).…”

Section: Discussionmentioning

confidence: 99%

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Leiomyoma of the prostate: A case report and systematic review

et al. 2022

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PurposeIt is rare to find a large leiomyoma in the prostate, especially in that of a young man. This case report and systematic review provides additional information on the diagnosis, distinguishing features of imaging examinations, and treatment options.Patients and MethodsWe report on the case of a thirty-year-old man with a large leiomyoma of the prostate. MRI of the prostate revealed a round mass in the posterior lobe, 8.0 × 8.0 × 5.5 cm in size. With the assistance of laparoscopy, we resected the prostate mass completely and spared this organ. A systematic review was conducted utilizing the Preferred Reporting Items for Systematic Reviews (PRISMA) including English language published reports, from 1970 to December 2021.ResultsUrinary and erectile functioning was preserved postoperatively. After a year of follow-up, no evidence of recurrence emerged. A total of 21 studies were included for analysis.ConclusionsA medical history of no, or few, lower urinary tract symptoms; the characteristics of a benign tumor in imaging examinations; and negative tumor markers should be included in any differential diagnosis of leiomyoma of the prostrate. A prostate biopsy should be performed before the preparative radical prostatectomy and choose nonsurgical treatment to confirm the diagnosis. Nowadays, minimally invasive surgery is the preferred effective option for this disease. It is a rare recurrence after its removal by means of surgery.

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“…It occurs rarely in young men. In our review, only one case was thirty-five years old ( 4 ). In our case report, the patient is a thirty-year-old man.…”

Section: Discussionmentioning

confidence: 89%