Prostatic leiomyoma: A case report

Abstract

A pure leiomyoma of the prostate, a rare tumor with fewer than 30 documented cases, typically initiates as focal points within the gland, causing prostatomegaly. Pathological examination is crucial for diagnosis, distinguishing it from leiomyosarcoma. Complete tumor resection is preferred, with methods like transurethral resection, open adenomectomy, or prostatectomy. Here, we detail a 72-year-old male's case of prostatic leiomyoma, treated via Robotic prostatectomy, highlighting the importance of accurate diagnosis and tailored therapy for this rare condition.

Fig. 1

Ultrasound showing a large lesion in the prostate lobe.

Fig. 2

A: HPE-staining 400 showing elongated leiomyocytes with spindle shaped nuclei and inconspicuous nucleolus.B: . HPE-staining 100 with bundles of elongated cells. Note the absence of normal prostatic glands. C. Strong cytoplasmic smooth muscle actine reactivity (200) and CD34 staining. Only reactivity in vascular endothelium and not in the proliferating cells (200).

Fig. 3

Prostate with the leiomyoma arising from within it.