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Solitary Fibrous Tumor of the Prostate: Case Report and Review of the LiteratureMoureau-Zabotto L.a · Chetaille B.b · Bladou F.h · Dauvergne P.-Y.g · Marcy M.b · Perrot D.e · Guiramand J.c · Sarran A.d · Bertucci F.e, f
Departments of aRadiotherapy, bPathology, cSurgical Oncology, dRadiology, and eMedical Oncology, Institut Paoli-Calmettes, and fUniversity of Mediterranea, Marseille, gClinique Rhône-Durance, Avignon, France; hDepartment of Urology, Jewish General Hospital, Montreal, Que., Canada Corresponding Author
Prof. François Bertucci
Department of Medical Oncology, Institut Paoli-Calmettes
232, bd Ste-Marguerite
FR–13273 Marseille Cedex 09 (France)
Tel. +33 4 91 22 35 37, E-Mail firstname.lastname@example.org
Solitary fibrous tumor (SFT), usually described in the pleura, is exceedingly rare in the prostate. We report a 60-year-old man with prostatic SFT revealed by obstructive urinary symptoms, and detected by ultrasonography. Computed tomography (CT) and magnetic resonance imaging suggested a prostatic origin. CT-guided tumor biopsy diagnosed a SFT. A cystoprostatectomy was performed. Pathologic examination showed a 15-cm tumor arising from the prostate and showing histological criteria suggestive of aggressiveness. The surgical resection margins were tumor-free. The patient was then regularly monitored and is still alive in complete remission, 28 months after surgery. In conclusion, we report a new exceptional case of prostatic SFT. We review the literature and discuss the challenging issues of misdiagnosis, prognosis and treatment.
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