title: Primary prostate sarcoma: how to manage following diagnosis at transurethral resection.
abstract: Primary prostate sarcomas are rare, reportedly comprising just 0.7% of all prostate malignancies. Here, we present the case of a 66-year-old man who was diagnosed with prostate stromal sarcoma after undergoing a routine transurethral resection of prostate for bladder outflow obstruction. Primary prostate sarcoma can be aggressive even when low-grade, with a high risk of local recurrence and, high malignant potential when high-grade. They require aggressive multimodality treatment with surgery, chemotherapy and radiotherapy for durable survival outcomes. They also require close surveillance with long-term follow-up.
authors.affiliation: Alexandra Hospital, Worcestershire Acute NHS Hospitals Trust, Redditch, UK nataliejhicks@gmail.com.
authors.forename: Natalie
authors.initials: N
authors.lastname: Hicks
authors.affiliation: Birmingham City Hospital, Birmingham, UK.
authors.forename: Pratik M S
authors.initials: PM
authors.lastname: Gurung
authors.affiliation: Queen Elizabeth Hospital, University Hospitals Birmingham, Birmingham, UK.
authors.forename: Nayneeta
authors.initials: N
authors.lastname: Deshmukh
authors.affiliation: George Eliot Hospital, Nuneaton, UK.
authors.forename: Ikechukwu
authors.initials: I
authors.lastname: Apakama
authors.affiliation: Queen Elizabeth Hospital, University Hospitals Birmingham, Birmingham, UK.
authors.forename: Prashant
authors.initials: P
authors.lastname: Patel