Dietrick Barbara, Friedes Cole, White Marissa J, Allaf Mohamad E, Meyer Alexa R
The James Buchanan Brady Urological Institute, Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Urol Case Rep. 2020 Feb 29;31:101150. doi: 10.1016/j.eucr.2020.101150. eCollection 2020 Jul.
Schwannomas of the prostate are exceedingly rare. We present a noteworthy case of a sporadic prostatic schwannoma diagnosed in conjunction with prostatic adenocarcinoma. A 60-year-old male presented with mild lower urinary tract symptoms and a prostate specific antigen (PSA) level of 4.84 ng/mL. A transrectal ultrasound guided prostate biopsy revealed multifocal Grade Group 2 prostate cancer. MRI demonstrated a PI-RADS 4 lesion and a periprostatic cystic lesion. Prostatectomy was performed. Final pathology demonstrated prostatic adenocarcinoma, with a separate periprostatic schwannoma. We present the first case in the literature of a sporadic periprostatic schwannoma discovered during evaluation for prostatic adenocarcinoma.
前列腺神经鞘瘤极为罕见。我们报告一例值得关注的散发性前列腺神经鞘瘤病例，该病例与前列腺腺癌同时被诊断出来。一名60岁男性出现轻度下尿路症状，前列腺特异性抗原（PSA）水平为4.84 ng/mL。经直肠超声引导下前列腺活检显示多灶性2级前列腺癌。MRI显示一个PI-RADS 4类病变和一个前列腺周围囊性病变。实施了前列腺切除术。最终病理显示为前列腺腺癌，同时还有一个单独的前列腺周围神经鞘瘤。我们报告了文献中首例在前列腺腺癌评估过程中发现的散发性前列腺周围神经鞘瘤病例。
