Wickramasinghe S, Beenen E, He M. Is it really an abscess? An unusual case of metastatic stromal cell sarcoma of the prostate.
Int J Surg Case Rep 2015;
17:82-4. [PMID:
26581082 PMCID:
PMC4701799 DOI:
10.1016/j.ijscr.2015.10.043]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2015] [Revised: 10/27/2015] [Accepted: 10/31/2015] [Indexed: 11/30/2022] Open
Abstract
Prostatic stromal sarcomas account for about 0.1% of all prostatic malignancies.
The preferred treatment is surgery by radical prostatectomy or cystoprostatectomy.
Local recurrence occurs in to bladder, seminal vesicles and rectum.
Distal metastasis, has so far only been reported in lung and bone.
Subcutaneous metastasis of a prostatic stromal cell sarcoma has not been reported before.
Introduction
Prostatic stromal sarcomas account for about 0.1% of all prostatic malignancies. Local recurrence into bladder, seminal vesicles and rectum has been documented. Distal metastasis, has so far only been reported in lung and bone.
Presentation of case
We report the case of a 42 year old man with a subcutaneous metastatic deposit of a prostatic stromal cell sarcoma 5 years after radical prostatectomy. Additional staging with CT- and PET-scan showed lymph node involvement in the neck and left axilla. A core biopsy of the skin lesion was undertaken, of which the histology revealed a low grade spindle cell tumour that was morphologically identical to a previously diagnosed prostatic stromal sarcoma.
Discussion
In literature distant metastases to the lung and bone have been documented before. This is the first documented case of a subcutaneous metastasis of prostatic stromal cell sarcoma.
Conclusion
The preferred treatment for prostatic stromal cell sarcoma is surgery by radical prostatectomy or cystoprostatectomy. There is currently not enough literature on the topic to elucidate the role of chemo- or radiotherapy in loco-regional or distant spread.
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