Prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma. Case report
Solitary fibrous tumor is an extremely rare fibroplastic mesenchymal neoplasm with an uncertain malignant potential and intermediate biological behavior. It is most often localized in the pleura. Extrapleural lesions of the genitourinary system, including the prostate gland and especially the semina...
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| Format: | Article |
| Language: | Russian |
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ZAO "Consilium Medicum"
2025-01-01
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| Series: | Consilium Medicum |
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| Online Access: | https://consilium.orscience.ru/2075-1753/article/viewFile/685134/203993 |
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| author | Ruslan N. Trushkin Nikolai A. Ognerubov Sergey А. Sokolov Teymur K. Isaev Elvira E. Berezhnaya Aleksandr A. Sokolov |
| author_facet | Ruslan N. Trushkin Nikolai A. Ognerubov Sergey А. Sokolov Teymur K. Isaev Elvira E. Berezhnaya Aleksandr A. Sokolov |
| author_sort | Ruslan N. Trushkin |
| collection | DOAJ |
| description | Solitary fibrous tumor is an extremely rare fibroplastic mesenchymal neoplasm with an uncertain malignant potential and intermediate biological behavior. It is most often localized in the pleura. Extrapleural lesions of the genitourinary system, including the prostate gland and especially the seminal vesicles, occur in anecdotal cases. There are no specific clinical manifestations of tumor localized in the prostate gland; it can mimic prostate adenoma with infravesical obstruction. With the localization of the tumor in the seminal vesicles, local symptoms are more common: hematuria, dysuria, and hemospermia. The basis of medical imaging is contrast-enhanced magnetic resonance imaging and combined positron emission and X-ray computed tomography with various tracers. To confirm the diagnosis, a biopsy followed by histological and immunohistochemical examination with determination of CD34 and STAT6 expression in the tumor tissue is required. The main therapy for a solitary fibrous tumor is surgical excision with a resection margin of 1–2 cm. The article presents a unique clinical case of a primary multiple synchronous solitary fibrous tumor of the prostate and seminal vesicle combined with prostate cancer. This is the first such case described in the available Russian and international literature. Timely diagnosis of these neoplasms enables a rational approach to personalized treatment. |
| format | Article |
| id | doaj-art-581d7ed1d27543f4bf69a1635d10edfa |
| institution | DOAJ |
| issn | 2075-1753 2542-2170 |
| language | Russian |
| publishDate | 2025-01-01 |
| publisher | ZAO "Consilium Medicum" |
| record_format | Article |
| series | Consilium Medicum |
| spelling | doaj-art-581d7ed1d27543f4bf69a1635d10edfa2025-08-20T02:55:09ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702025-01-0127738539010.26442/20751753.2025.7.2033284981Prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma. Case reportRuslan N. Trushkin0https://orcid.org/0000-0002-3108-0539Nikolai A. Ognerubov1https://orcid.org/0000-0003-4045-1247Sergey А. Sokolov2https://orcid.org/0009-0004-7016-2360Teymur K. Isaev3https://orcid.org/0000-0003-3462-8616Elvira E. Berezhnaya4https://orcid.org/0000-0003-1407-0408Aleksandr A. Sokolov5https://orcid.org/0009-0007-0302-0428People’s Friendship University of Russia named after Patrice LumumbaRussian Medical Academy of Continuous Professional EducationCity Clinical Hospital №52City Clinical Hospital №52City Clinical Hospital №52Central Clinical Hospital with PolyclinicSolitary fibrous tumor is an extremely rare fibroplastic mesenchymal neoplasm with an uncertain malignant potential and intermediate biological behavior. It is most often localized in the pleura. Extrapleural lesions of the genitourinary system, including the prostate gland and especially the seminal vesicles, occur in anecdotal cases. There are no specific clinical manifestations of tumor localized in the prostate gland; it can mimic prostate adenoma with infravesical obstruction. With the localization of the tumor in the seminal vesicles, local symptoms are more common: hematuria, dysuria, and hemospermia. The basis of medical imaging is contrast-enhanced magnetic resonance imaging and combined positron emission and X-ray computed tomography with various tracers. To confirm the diagnosis, a biopsy followed by histological and immunohistochemical examination with determination of CD34 and STAT6 expression in the tumor tissue is required. The main therapy for a solitary fibrous tumor is surgical excision with a resection margin of 1–2 cm. The article presents a unique clinical case of a primary multiple synchronous solitary fibrous tumor of the prostate and seminal vesicle combined with prostate cancer. This is the first such case described in the available Russian and international literature. Timely diagnosis of these neoplasms enables a rational approach to personalized treatment.https://consilium.orscience.ru/2075-1753/article/viewFile/685134/203993solitary fibrous tumorprostate glandseminal vesicleprostate cancermagnetic resonance imagingimmunohistochemistrytreatment |
| spellingShingle | Ruslan N. Trushkin Nikolai A. Ognerubov Sergey А. Sokolov Teymur K. Isaev Elvira E. Berezhnaya Aleksandr A. Sokolov Prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma. Case report Consilium Medicum solitary fibrous tumor prostate gland seminal vesicle prostate cancer magnetic resonance imaging immunohistochemistry treatment |
| title | Prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma. Case report |
| title_full | Prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma. Case report |
| title_fullStr | Prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma. Case report |
| title_full_unstemmed | Prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma. Case report |
| title_short | Prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma. Case report |
| title_sort | prostate and seminal vesicle solitary fibrous tumor combined with prostate adenocarcinoma case report |
| topic | solitary fibrous tumor prostate gland seminal vesicle prostate cancer magnetic resonance imaging immunohistochemistry treatment |
| url | https://consilium.orscience.ru/2075-1753/article/viewFile/685134/203993 |
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