[Assymptomatic prostatic infiltration by chronic lymphocytic leukemia].
OBJECTIVE
Report of a case of leukemic infiltration of the prostate as an incidental CT finding.


METHODS
We describe a case of a 60-year-old male suffering from chronic lymphocytic leukemia. A routine-performed CT showed multiple lymphadenopathies and an hypodense area in the left prostatic lobe. The patient was sent to our department to carry out a transrectal ultrasound and prostatic biopsy. He didn't relate any urinary symptoms.


RESULTS
By the prostate rectal examination the gland felt hard and with no well defined limits. The transrectal ultrasound showed heterogene parenchyma and several hyperechoic areas by a bad circumscribed prostate. The pathological analysis reported a diffuse infiltration of the gland by chronic lymphocytic leukemia cells.


CONCLUSIONS
Although the relapse of hematological tumors to the prostate has been described previously, there is no published case to our knowledge of a leukemic prostate infiltration in an assymptomatic patient as an incidental finding by an imaging procedure.
Pastor Navarro
Teresa
T
Servicio de Urología, Hospital Universitario Doctor Peset, Valencia, España. tpastorn@yahoo.es
Planelles Gómez
Jorge
J
Beamud Cortés
Manel
M
Martí Ibor
Encarna
E
Gil Salom
Manuel
M
Osca García
Jose Manuel
JM
D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000473:pathology*; D017254:Leukemic Infiltration; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000473:pathology*