Cases reported "Prostatic Hyperplasia"

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1/7. Unusual retrovesical masses in men.

    Retrovesical masses in men not related to prostatic carcinoma or hyperplasia is an uncommon pathology. Rare masses or unusual manifestations of those common diseases are a diagnostic dilemma. We review our experience in three unusual retrovesical masses in men: carcinosarcoma filling a giant bladder diverticulum; cystic prostatic carcinoma; and acquired cystic dilatation of the seminal vesicle associated with a prostatic carcinoma that obstructed and invaded the vesicle. We report the imaging findings and review the literature. In our experience, the imaging findings are usually not specific for doing a precise diagnosis and biopsy procedures are necessary.
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ranking = 1
keywords = giant
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2/7. Transurethral electrovaporization for giant prostatic hyperplasia: report of a case.

    Although open simple prostatectomy remains the reference standard for the treatment of excessively large or giant prostatic hyperplasia, advances in technology and techniques have facilitated safe transurethral management of select cases. We report a case undergoing removal over 200 g of prostatic adenoma by three transurethral electrovaporization (TVP) sessions and discuss its feasibility in clinical use.
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ranking = 5
keywords = giant
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3/7. Giant multilocular cystadenoma of the prostate: a rare differential diagnosis of benign prostatic hyperplasia.

    We report a case of giant multilocular cystadenoma of the prostate in a 43-year-old man. This is a rare benign entity of the prostate imitating symptoms of benign prostatic hyperplasia and originates from the prostate with extensive spread into the pelvis. Histologically, prostatic glands and cysts lined by cuboid to columnar epithelial cells with basally located nuclei are characteristic. Immunohistochemical staining is positive for prostate-specific antigen in the epithelial cells. Giant multilocular prostatic cystadenoma should be taken into account in the differential diagnosis in any case of a large cystic mass originating from the prostate.
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keywords = giant
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4/7. phyllodes tumor of the prostate: a case report.

    A case of prostatic phyllodes tumor which developed in a 78-yr-old man is reported. Histologically, the tumor comprised myxomatous and cellular portions with a proliferation of atypical stromal cells. Multinucleated giant cells were occasionally present, but mitoses were rare. Fibroblastic differentiation of the tumor cells was confirmed by numerous rough endoplasmic reticulums and free ribosomes, and by immunoreactivity for vimentin. Approximately one-third of the tumor cells showed estrogen-receptor immunoreactivity at their nuclei. The patient is well, with no evidence of tumor recurrence, five years after the resection. The tumor was diagnosed as being a benign prostatic phyllodes tumor showing fibroblastic differentiation, and of an estrogen-dependent nature.
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ranking = 1
keywords = giant
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5/7. Giant Mullerian duct cyst mimicking prostatic malignancy.

    A giant mullerian duct cyst was initially interpreted as a seminal vesicle cyst. Associated prostatic malignancy was suspected because of raised tumour marker levels and lysis of pubic bone. Intraoperative vasography gave the correct diagnosis. Open partial transvesical excision of the cyst and suprapubic prostatectomy were performed. No malignancy was found in the surgical specimens and 2 years later the patient remains well.
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ranking = 1
keywords = giant
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6/7. A case of giant prostatic hyperplasia.

    Giant prostatic hyperplasia (GPH) is an uncommon pathologic entity with only 10 reported cases of prostate glands exceeding 500 g. We report the uncomplicated removal of a 526-g prostatic adenoma by simple retropubic prostatectomy.
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ranking = 4
keywords = giant
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7/7. Case report: uneventful treatment of a giant prostate.

    OBJECTIVE: Redefine the meaning of the old term "giant adenoma" and evaluate the diagnosis and safest method of treatment of such cases. METHOD: The world literature was reviewed, particularly concerning diagnostic approaches and therapeutic techniques. RESULTS: The open surgery technique appears to be the safest in the treatment of giant adenoma. CONCLUSIONS: We recommend further study of the factors affecting growth of giant prostatic adenoma.
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ranking = 7
keywords = giant
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