Coexistence of a hemorrhagic cyst and carcinoma in the prostate gland.
This report details a case of prostatic carcinoma coexisting with a hemorrhagic cyst in a 66-year-old man; this combination was a challange for diagnosis and mamagement. The patient presented with lower urinary tract symptoms and a serum prostate-specific antigen (PSA) level of 33.3 ng/ml. Magnetic resonance imaging of the prostate showed a cystic mass with soft-tissue density and hemorrhage. Histological examination of the suprapubic prostatectomy specimens showed nodular hyperplasia with focal adenosis, high-grade prostatic intraepithelial neoplasia, a Gleason score of 6 for prostatic carcinoma, and a hemorrhagic cyst which appeared to be nonmalignant. We suggest that elevated serum PSA should raise the suspicion of coexisting malignancy in a hemorrhagic cyst.
Chang
Ying-Hsu
YH
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan 333, ROC.
Chuang
Cheng-Keng
CK
Ng
Kwai-Fong
KF
Liao
Shuen-Kuei
SK
D000368:Aged; D003560:Cysts / Q000150:complications*; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D017430:Prostate-Specific Antigen / Q000097:blood; D011469:Prostatic Diseases / Q000150:complications*; D011471:Prostatic Neoplasms / Q000150:complications* / Q000473:pathology
D017430:Prostate-Specific Antigen