TRANSPERINEAL BIOPSY LEADS TO THE DIAGNOSIS OF GENITOURINARY NEUROFIBROMATOSIS IN ASSOCIATION WITH A CONGENITAL-MALFORMATION OF THE URINARY-TRACT

Objective: A case of genitourinary fibromatosis with associated anomal ies is presented. Methods: Clinical evaluation included ultrasonograph y, urography, CT scan and MR image. Ultrasonography-guided perineal bi opsy was performed with a 14-gauge Tru-cut needle. Results: Rectal exa mination revealed a very hard prostatic mass in the 22-year-old patien t. The histological result and clinical data indicated the diagnosis o f genitourinary von Recklinghausen disease. Conclusion: We report a ve ry rare case of genitourinary neurofibromatosis associated with congen ital anomalies of the urinary tract. The diagnosis was obtained with U S-guided transperineal biopsy.