Giant hypertrophy of the prostate: 2,410 grams of weight and 24 cm in diameter
Medina Pérez, M.; Valero Puerta, J.; Valpuesta Fernández, I.; Sánchez González, M.
Archivos Espanoles de Urologia 50(7): 795-797
1997
ISSN/ISBN: 0004-0614 PMID: 9412386 Document Number: 6855
To describe what we consider to be the largest prostatic hypertrophy reported in the literature. A 57-year-old man consulted for prostatic symptoms during the last few months. He had a large palpable abdominal mass and DRE showed enlargement of the prostate. The intravenous urogram and CT scan were compatible with a retroperitoneal tumor and explorative laparotomy was performed. A large pelvic mass, dependent on the prostate, was found and resected. Pathological analysis of the surgical specimen disclosed a giant adenoma of the prostate, weighing 2410 gm and 24 cm in diameter. Immunohistochemical studies for PSA, vimentin, smooth actin and ki 67 were performed. The tumor showed glandular and stromal hyperplasia. Giant prostatic adenoma should be included in the differential diagnosis of retroperitoneal masses. To our knowledge, the case described herein is the largest prostatic hypertrophy reported in the literature.
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