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Case Rep Urol. 2015;2015:419180. doi: 10.1155/2015/419180. Epub 2015 May 14.

Monophasic Synovial Sarcoma of Prostatic Fascia: Case Report and Literature Review.

Author information

1
Department of Radiology, Cremona Hospital, Viale Concordia 1, 26100 Cremona, Italy.
2
Department of Urology, Cremona Hospital, Viale Concordia 1, 26100 Cremona, Italy.
3
Department of Radiology, University of Brescia, "Spedali Civili" Hospital, Piazzale Spedali Civili 1, 25100 Brescia, Italy.
4
Department of Anatomic Pathology, "Spedali Civili" Hospital, Piazzale Spedali Civili 1, 25100 Brescia, Italy.
5
Department of Anatomic Pathology, Cremona Hospital, Viale Concordia 1, 26100 Cremona, Italy.

Abstract

Synovial sarcoma (SS) primarily occurs in the para-articular soft tissue of the lower extremities in young adults and it is extremely rare in the prostatic region. We report a case of a 46-year-old man who presented with urinary retention. Pelvic ultrasound (US) examination, computed tomography (CT), and magnetic resonance imaging (MRI) demonstrated an 8.5 cm mass that appeared to originate in the prostatic fascia of the right lobe. Preoperative prostatic ultrasound transrectal needle biopsy revealed mesenchymal neoplastic tissue. Patient underwent surgery. The final pathologic findings were consistent with the diagnosis of monophasic synovial sarcoma.

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