Prostatic Leiomyoma With Bizarre Nuclei: A Case Report

Abstract

Leiomyoma with bizarre nuclei (LM-BN) is a very rare finding which cannot be distinguished clinically from the very commonly occurring benign prostatic hyperplasia (BPH). If correctly diagnosed, LM-BN has a favorable prognosis after complete surgical excision. It is important to keep this alternative diagnosis in mind when treating a patient with complaints indicating prostatic hyperplasia. This case involves a 77-year-old male presenting with lower urinary tract symptoms; based on clinical presentation, the patient was diagnosed with BPH. A transurethral prostate resection was performed. Resected prostate tissue was collected for analysis and diagnosis of prostatic LM-BN was made.

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

“…In 2016, Kristensen et al stated that prostatic leiomyomas were reported in <100 cases since it was defined. 1 Chronic inflammation and infectious pathogens were suggested to be responsible for leiomyoma pathogenesis. In addition, the origin of prostatic leiomyoma may reveal as wastes of Müllerian duct.…”