PSEUDOSARCOMATOUS FIBROMYXOID TUMOR OF THE PROSTATE - A CASE-REPORT WITH REVIEW OF THE LITERATURE

A previously healthy 42-year-old white male presented with urinary obs truction, Radiographic evaluation revealed a 4-cm prostatic mass exten ding into the bladder. Transrectal biopsies revealed a sarcomatoid his tology with atypical spindle cells suspicious for possible sarcoma, A transurethral resection of the prostate was performed revealing a beni gn fibromyxoid lesion with spindle cell proliferation, Postoperatively , the patient voided normally with no evidence of recurrence on follow -up of over 1 year. The clinical presentation and histologic features are consistent with pseudosarcomatous fibromyxoid tumor, a rare but be nign lesion which has previously been mistaken for a malignant prostat ic sarcoma. It is important for the urologist to recognize this benign process so that radical procedures are not performed.