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. 2013:2013:741235.
doi: 10.1155/2013/741235. Epub 2013 Aug 24.

A rare prostatic diagnosis of an old man: a pure prostatic leiomyoma

W M van Ulden-Bleumink  1 , P G B Dom, B P M Ramakers, N P H van Adrichem
Affiliations

A rare prostatic diagnosis of an old man: a pure prostatic leiomyoma

W M van Ulden-Bleumink et al. Case Rep Urol. 2013.

Abstract

A pure leiomyoma of the prostate is a rare benign tumor. An 82-year-old man was referred to our urology department with gross hematuria and complete urinary retention. Examination revealed a benign prostatic hyperplasia. Transrectal ultrasound showed a prostate of 125 mL. Serum PSA was 1.9 µg/L. A simple retropubic prostatectomy was performed. Histopathological examination showed a pure leiomyoma of the prostate, without the presence of glandular prostate tissue. The diagnosis, characteristics, and treatment of this tumor are described.

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Figures

Figure 1
Figure 1
Cell image of a prostatic leiomyoma, characterized by arranged intersecting bundles not atypical smooth muscle cells.
Figure 2
Figure 2
The spindle cell population shows desmin positivity.
Figure 3
Figure 3
The spindle cell population shows strong SMA positivity.
See this image and copyright information in PMC

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