Tags

Type your tag names separated by a space and hit enter

Stumped by rapid symptomatic prostatic regrowth: A case report on a STUMP tumour of the prostate resected with HoLEP.
Int J Surg Case Rep 2019; 62:24-26IJ

Abstract

INTRODUCTION

Stromal Tumour of Undetermined malignant potential (STUMP) is a rare category of the prostate benign tumours, which has a variable clinical presentation, behavior and different approaches to manage it.

CASE PRESENTATION

A 57 year-old male presented with voiding symptoms of the urinary tract and an increased PSA (14.7 ng/ml). Ultrasound and multiparametric MRI showed an enlarged prostate of 41 ml. Transurethral resection of the prostate (TURP) was performed with 11 g benign tissue removed. The patient presented one year later with the same symptoms; further ultrasound and parametric MRI demonstrated huge recurrence in the transition zone with a new prostate size of 131 ml.

DISCUSSION

Despite no malignancy being identified in the initial TURP histology, the transition zone prostatic tumour behaved aggressively and recurred in just one year. For the first time in literature, the tumour recurred rapidly to three times the initial size and was removed using Holmium Laser enucleation of the prostate (HoLEP), after which no recurrence was seen in 11 months period.

CONCLUSION

HoLEP can be used to successfully enucleate STUMP tumours but the clinical behavior of the STUMP in prostate is still not understood well because of its rareness.

Authors+Show Affiliations

Urology department, Guy's and St Thomas' Hospital, London, UK. Electronic address: altaltareq1994@gmail.com.Urology department, Guy's and St Thomas' Hospital, London, UK.Urology department, Guy's and St Thomas' Hospital, London, UK.Urology department, Guy's and St Thomas' Hospital, London, UK.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31419733

Citation

Al Tell, Tareq, et al. "Stumped By Rapid Symptomatic Prostatic Regrowth: a Case Report On a STUMP Tumour of the Prostate Resected With HoLEP." International Journal of Surgery Case Reports, vol. 62, 2019, pp. 24-26.
Al Tell T, Marconi L, Cathcart P, et al. Stumped by rapid symptomatic prostatic regrowth: A case report on a STUMP tumour of the prostate resected with HoLEP. Int J Surg Case Rep. 2019;62:24-26.
Al Tell, T., Marconi, L., Cathcart, P., & Challacombe, B. (2019). Stumped by rapid symptomatic prostatic regrowth: A case report on a STUMP tumour of the prostate resected with HoLEP. International Journal of Surgery Case Reports, 62, pp. 24-26. doi:10.1016/j.ijscr.2019.07.058.
Al Tell T, et al. Stumped By Rapid Symptomatic Prostatic Regrowth: a Case Report On a STUMP Tumour of the Prostate Resected With HoLEP. Int J Surg Case Rep. 2019;62:24-26. PubMed PMID: 31419733.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stumped by rapid symptomatic prostatic regrowth: A case report on a STUMP tumour of the prostate resected with HoLEP. AU - Al Tell,Tareq, AU - Marconi,Lorenzo, AU - Cathcart,Paul, AU - Challacombe,Benjamin, Y1 - 2019/07/26/ PY - 2019/05/23/received PY - 2019/07/15/revised PY - 2019/07/18/accepted PY - 2019/8/17/pubmed PY - 2019/8/17/medline PY - 2019/8/17/entrez KW - Benign KW - HoLEP KW - Prostate KW - STUMP KW - TURP SP - 24 EP - 26 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 62 N2 - INTRODUCTION: Stromal Tumour of Undetermined malignant potential (STUMP) is a rare category of the prostate benign tumours, which has a variable clinical presentation, behavior and different approaches to manage it. CASE PRESENTATION: A 57 year-old male presented with voiding symptoms of the urinary tract and an increased PSA (14.7 ng/ml). Ultrasound and multiparametric MRI showed an enlarged prostate of 41 ml. Transurethral resection of the prostate (TURP) was performed with 11 g benign tissue removed. The patient presented one year later with the same symptoms; further ultrasound and parametric MRI demonstrated huge recurrence in the transition zone with a new prostate size of 131 ml. DISCUSSION: Despite no malignancy being identified in the initial TURP histology, the transition zone prostatic tumour behaved aggressively and recurred in just one year. For the first time in literature, the tumour recurred rapidly to three times the initial size and was removed using Holmium Laser enucleation of the prostate (HoLEP), after which no recurrence was seen in 11 months period. CONCLUSION: HoLEP can be used to successfully enucleate STUMP tumours but the clinical behavior of the STUMP in prostate is still not understood well because of its rareness. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/31419733/Stumped_by_rapid_symptomatic_prostatic_regrowth:_A_case_report_on_a_STUMP_tumour_of_the_prostate_resected_with_HoLEP L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(19)30440-7 DB - PRIME DP - Unbound Medicine ER -