Cella Ludovica, Gatti Beatrice, Renne Salvatore, Cananzi Ferdinando, Ferrillo Giuseppe, Casale Paolo, Colombo Pier Giuseppe, Lughezzani Giovanni
Humanitas University, Department of Biomedical Sciences, Milan, Italy.
IRCCS Humanitas Research Hospital, Department of Urology, Milan, Italy.
Urol Case Rep. 2025 Jun 19;61:103098. doi: 10.1016/j.eucr.2025.103098. eCollection 2025 Jul.
are rare mesenchymal neoplasms with variable malignancy potential. We report a 69-year-old man with elevated PSA and an asymptomatic pelvic solid mass (42 × 32 × 48 mm), found on imaging between the bladder and anterior prostate. CT-guided biopsy confirmed an intermediate/low-risk SFT per WHO 2020. The lesion was successfully removed via robotic prostate-sparing surgery. Accurate histopathological diagnosis is key to avoid overtreatment, as SFTs can mimic more aggressive tumors. Complete excision offers good prognosis, though long-term follow-up is warranted due to potential for recurrence or progression.
是具有不同恶性潜能的罕见间叶性肿瘤。我们报告一名69岁男性，其前列腺特异性抗原（PSA）升高，影像学检查发现膀胱与前列腺前部之间有一个无症状盆腔实性肿块（42×32×48mm）。CT引导下活检根据世界卫生组织2020年标准确诊为中/低风险孤立性纤维性肿瘤（SFT）。该病变通过保留前列腺的机器人手术成功切除。准确的组织病理学诊断是避免过度治疗的关键，因为SFT可能会模仿更具侵袭性的肿瘤。完整切除可带来良好预后，不过鉴于有复发或进展的可能，仍需长期随访。
