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Case Reports
. 2019 Nov;13(3):166-168.
doi: 10.1159/000499275. Epub 2019 Nov 13.

Incidental Lymphoplasmacytic Lymphoma Diagnosed Following Robotic-Assisted Laparoscopic Prostatectomy for Prostate Cancer

Omar El-Taji  1 , Altan Omer  1 , Abdullah Al-Mitwalli A  2 , Samita Agarwal  3 , Anand Sharma  4 , Nikhil Vasdev  1
Affiliations
Case Reports

Incidental Lymphoplasmacytic Lymphoma Diagnosed Following Robotic-Assisted Laparoscopic Prostatectomy for Prostate Cancer

Omar El-Taji et al. Curr Urol. 2019 Nov.

Abstract

We report a case of prostatic lymphoma of the Walden-ström's macroglobulinemia subtype in a 64-year-old gentleman who underwent a robotic-assisted laparoscopic prostatectomy following lower urinary tract symptoms and high grade adenocarcinoma on transperineal prostate biopsy's. Histopathological and immunohistochemistry analysis at the time of surgery was consistent with a CD5-negative small B-cell lymphoma. To our knowledge this is the first reported prostatic lymphoma identified following robotic-assisted laparoscopic prostatectomy and the first documented case of lymphoplasmacytic lymphoma involving prostate. Lymphoma of the prostate is an uncommon entity in surgical practice and their diagnosis often poses considerable difficulty as they often mimic carcinoma. We discuss this rare diagnosis and review the literature for current considerations and prognosis.

Keywords: Lymphoma; Prostate Cancer; Robotic assisted laparoscopic prostatectomy.

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Figures

Fig. 1
Fig. 1
MRI prostate demonstrating a 25 × 13 mm area of ill-defined T2 hypointense change in the anterior gland apex with a PI-RADS score 5/5.
Fig. 2
Fig. 2
CD 20 positive lymphoid cells.
See this image and copyright information in PMC

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