[Treatment of adult prostate sarcoma: a report of six cases with literature review].
OBJECTIVE
Primary adult prostate sarcoma is rare. Most patients come to hospital with huge pelvic tumors. Treatment for this disease remains controversial. We reported our experience of treating 6 cases of adult prostate sarcoma, and explore reasonable therapy strategy with literature review.


METHODS
Six adult patients with prostate sarcoma were treated in our hospital, 5 underwent cystoprostatectomy combined with urinary diversion, 1 underwent total pelvic exenteration combined with urinary diversion and colostomy; 3 had preoperative intervention to embolize bilateral internal iliac artery, 4 received postoperative radiotherapy. The recent 11 reports published in China with a total of 62 cases were reviewed, 32 of them had radical surgery. The pertinent literatures from other countries were also reviewed.


RESULTS
Of our 6 patients, 1 survived with no evidence of disease for 33 months; 1 survived with recurrent tumor for 18 months; 4 died of recurrent sarcoma 5-40 months after surgery. In the whole group of 62 patients, 1-, and 2-year survival rates were 59%, and 34%.


CONCLUSIONS
Up to now, radical surgery is the most effective treatment for adult prostate sarcoma.
Liu
Zhuo-Wei
ZW
Department of Urology, Cancer Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, P. R. China. zhoufaj86@263.net
Zhou
Fang-Jjian
FJ
Qin
Zi-Ke
ZK
Han
Hui
H
Yu
Shao-Long
SL
Wang
Huan
H
D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012509:Sarcoma / Q000601:surgery*; D015996:Survival Rate