2017, Number 2
RCU 2017; 6 (2)
Giant prostatic hyperplasia and prostatic adenocarcinoma as abdominal tumour
Baños HI, Román GJF, De Armas AI
Language: Spanish
References: 8
Page: 127-130
PDF size: 453.60 Kb.
ABSTRACT
Introduction: Hyperplasia and prostate cancer are very frequent entities from the sixth decade of life. They may cause several urinary disorders but it is unusual that they present as palpable abdominal masses. Objective: To describe how a giant prostatic hyperplasia combined with a small acinar adenocarcinoma appears as an abdominal tumor. Case presentation: Patient attending hospital with a visible tumor Palpable In hypogastrium accompanied by a low urinary obstructive syndrome. Combined, transvesical and retropubic adenomectomy is performed surgically. The biopsy reports small prostatic adenocarcinoma acinar Gleason 3‐4 points in the context of a prostatic hyperplasia. The patient evolved satisfactorily and is followed in consultation. The extracted tumor weighed 736g and is the largest weight reported in Cuba and the fifth in the world. Conclusions: The benign or malignant proliferation of the prostate gland is characterized by anatomical and functional alterations in the urinary system. For this reason causes a varied symptomatology, fundamentally related to the act of micturition. This form of presentation of prostatic tumors is extremely rare but must be taken into account in patients with abdominal masses evident in hypogastrium.REFERENCES
Greenstein A, Ferman Z, Stav K, Gruenwald I, Matzkin H, Ramon J. Position statement for the diagnosis and treatment of men with benign prostate enlargement and lower urinary tract symptoms. Harefuah. 2014 [citado 14 Ene 2015];153(9):[aprox. 4 p.]. Disponible en: http://www.pubpdf.com/search/author/Jacob+ Ramon