An unusual presentation of prostate cancer posing a diagnostic dilemma: A case report

• Main Authors: Nina Al-Saadi, Safa Al-Musawi, Yousuf Khan, Daben Dawam
• Format: Article
• Language: English
• Published: Elsevier 2021-01-01
• Series: Urology Case Reports
• Subjects: Sarcomatoid carcinoma; Prostate; Cancer; PR bleeding
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214442020303211

Sarcomatoid carcinomas are a rare type of prostate cancer and are associated with a poor prognosis. We present the case of an 80-year-old gentleman who presented with rectal bleeding and his CT scan revealed an incidental pelvic cystic mass. He initially underwent attempted ultrasound-guided drainage and transurethral resection for this. Definitive management was a radical surgery. Histological findings confirmed that the morphological features favoured a sarcomatoid prostate cancer rather than a primary sarcoma, as was thought. Unusual presentations of pathologies may be encountered during our practice and present a challenge. A methodological approach is required to ensure positive outcomes.