Carcinosarcoma of the prostate

We present a rare case of carcinosarcoma of the prostate occurring in a 60- year-old white male. This diagnosis was initially missed after a transureth ral resection of the prostate (TURP) had been performed to alleviate the pa tient's urinary obstructive symptoms. After recurrence of symptoms within a short period, another TURF was performed and the diagnosis of carcinosarco ma was then established. The patient then underwent a radical cystourethrop rostatectomy with bilateral lymphadenectomy and ileal conduit diversion. Ca rcinosarcoma of the prostate is a very aggressive disease that often has a poor prognosis, especially when it has spread out of the prostate. Surgical removal of the prostate seems to be the best option for treatment in the s elect group of patients in which the disease remains confined to the prosta te.