title: Pelvic periprostatic symplastic leiomyoma: an unusual case necessitating a radical surgery.
abstract: Most pelvic smooth muscle tumors are believed to be malignant, leiomyomas are extremely rare; more so in male patients. Very few cases of symplastic leiomyomas have been described in males. We report an extremely unusual case of a soft tissue mass of periprostatic and periseminal vesicle region in a young adult, which necessitated a radical surgery. Histologically, tumor comprised of smooth muscle bundles with numerous bizarre tumor cells which were immunoreactive with smooth muscle actin (SMA), desmin and h-caldesmon. The diagnostic and treatment dilemmas of these unusual tumors are discussed.
authors.affiliation: Department of Pathology, Tata Memorial Hospital, Parel, Mumbai, India.
authors.forename: Komal
authors.initials: K
authors.lastname: Kathuria
authors.forename: Santosh
authors.initials: S
authors.lastname: Menon
authors.forename: Kedar
authors.initials: K
authors.lastname: Deodhar
authors.forename: Ganesh
authors.initials: G
authors.lastname: Bakshi
authors.forename: Sangeeta
authors.initials: S
authors.lastname: Desai
mesh_terms: D000328:Adult; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D008297:Male; D010386:Pelvic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D010388:Pelvis / Q000473:pathology; D018235:Smooth Muscle Tumor / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*