Nowroozi Mohammad Reza, Madani Mohammad Hamidi, Farzin Amirreza, Montazeri Saeed, Torkamani Zahra Tahamtani, Hajiasadi Ehsan
Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Urol Case Rep. 2025 Jul 4;62:103118. doi: 10.1016/j.eucr.2025.103118. eCollection 2025 Sep.
Prostatic stromal sarcoma (PSS) is an exceptionally rare mesenchymal tumor of the prostate. We present a case of high-grade recurrent PSS in a 49-year-old man, managed with complete surgical excision and successful organ preservation. This report is accompanied by a literature review highlighting diagnostic challenges, histopathological features, and evolving surgical approaches, including robotic-assisted techniques. By comparing our case with previously reported cases, we emphasize the importance of individualized treatment strategies and long-term follow-up in managing this aggressive malignancy.
前列腺基质肉瘤（PSS）是一种极其罕见的前列腺间叶肿瘤。我们报告一例49岁男性的高级别复发性PSS病例，通过完整手术切除成功保留了器官。本报告还伴有文献综述，重点介绍了诊断挑战、组织病理学特征以及不断发展的手术方法，包括机器人辅助技术。通过将我们的病例与先前报道的病例进行比较，我们强调了个体化治疗策略和长期随访在管理这种侵袭性恶性肿瘤中的重要性。
