Prostatic cystic epithelial-stromal tumors, commonly described as phyllodes
tumors of the prostate, are extremely rare lesions. They exhibit a spectru
m of histological features similar to their better known counterpart in the
breast. Although a benign clinical course has been emphasized in some repo
rts, cumulative evidence in the literature indicates that these lesions sho
uld be considered neoplasms rather than atypical hyperplasia due to the fre
quent early recurrences with possible dedifferentiation, infiltrative growt
h and potential for extraprostatic spread in some cases. An individualized
approach to complete excision of the tumor is needed. A case record of a pa
tient recently treated at our medical center with a low-grade phyllodes tum
or is presented and a review of the literature was done. Copyright (C) 2000
S. Karger AG, Basel.