IJU Case Reports (Jul 2023)

A case of complete resection of prostate stromal sarcoma after neoadjuvant chemotherapy

  • Naoto Hodotsuka,
  • Yasutomo Suzuki,
  • Kyota Suzuki,
  • Yuichiro Honda,
  • Shuma Endo,
  • Eigo Kuribayashi,
  • Kotaro Obayashi,
  • Tadaaki Minowa,
  • Tsutomu Hatori,
  • Yukihiro Kondo

DOI
https://doi.org/10.1002/iju5.12596
Journal volume & issue
Vol. 6, no. 4
pp. 239 – 243

Abstract

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Introduction Prostatic stromal sarcoma is an extremely rare malignancy of the prostate with a poor prognosis. Case presentation A 65‐year‐old man presented with dyschezia, and computed tomography showed a large prostate mass. The diagnosis was prostate stromal sarcoma by transrectal needle biopsy. Magnetic resonance imaging suggested rectal infiltration. The patient underwent 4 courses of neoadjuvant chemotherapy with gemcitabine and docetaxel hydrate followed by total pelvic exenteration. Conclusion No recurrence has occurred at 5 years after the surgery. This is the first report of complete resection in prostate stromal sarcoma after neoadjuvant chemotherapy with gemcitabine and docetaxel hydrate.

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