Perineal Ectopic Prostate Tissue: A Rare Case and Its Clinical Implications
Ectopic prostate tissue is a rare condition characterized by the presence of prostate glands outside their typicalanatomical location, rather than the entire organ being displaced. While it is most commonly observed in thelower male genitourinary system, it has also been reported in various other si...
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Shiraz University of Medical Sciences
2024-12-01
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| Series: | Iranian Journal of Colorectal Research |
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| Online Access: | https://colorectalresearch.sums.ac.ir/article_50904_7b975fc757f35dba409e4960588981dd.pdf |
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| author | Mohammad Mostafa Safarpour Amin Abolhasani Foroughi Mansoureh Shokripour Seyed Vahid Hosseini |
| author_facet | Mohammad Mostafa Safarpour Amin Abolhasani Foroughi Mansoureh Shokripour Seyed Vahid Hosseini |
| author_sort | Mohammad Mostafa Safarpour |
| collection | DOAJ |
| description | Ectopic prostate tissue is a rare condition characterized by the presence of prostate glands outside their typicalanatomical location, rather than the entire organ being displaced. While it is most commonly observed in thelower male genitourinary system, it has also been reported in various other sites, including the pericolic fat, thefemale genitourinary system, and even the spleen. The most common location is the urinary bladder trigone,though it can also appear in the periurethral area or at the bladder neck. Here, we present a case involvingperineal ectopic prostate tissue that manifested as a significant mass. A 52-year-old man visited a colorectalclinic due to a bulging, mass-like lesion in the perineal region. Perineal soft tissue sonography identified asolid-cystic mass, while pelvic magnetic resonance imaging (MRI) revealed a large solid-cystic mass locatedposterior to the sacrum, beneath the skin. Physical examination demonstrated a palpable, large perineal massextending from the inferior border of the scrotum to the anterolateral aspect of the anus. Laboratory data werewithin normal limits. Both tru-cut biopsy and fine-needle aspiration (FNA) indicated a bloody, low-cellularityspecimen with no malignant cells. Subsequently, the entire mass was excised via a transperineal approach.Pathological and immunohistochemical studies confirmed the presence of ectopic prostate tissue without anysigns of malignancy. Consequently, ectopic prostate tissue should be considered in the differential diagnosis ofany perineal mass, and surgical excision is recommended due to the potential risk of malignancy. |
| format | Article |
| id | doaj-art-a1580de41fa447a78160d16d2e927f06 |
| institution | OA Journals |
| issn | 2783-2430 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Colorectal Research |
| spelling | doaj-art-a1580de41fa447a78160d16d2e927f062025-08-20T02:05:46ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302024-12-0112413313710.30476/acrr.2025.104680.122950904Perineal Ectopic Prostate Tissue: A Rare Case and Its Clinical ImplicationsMohammad Mostafa Safarpour0Amin Abolhasani Foroughi1Mansoureh Shokripour2Seyed Vahid Hosseini3Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.Medical Imaging Research Center, Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.Ectopic prostate tissue is a rare condition characterized by the presence of prostate glands outside their typicalanatomical location, rather than the entire organ being displaced. While it is most commonly observed in thelower male genitourinary system, it has also been reported in various other sites, including the pericolic fat, thefemale genitourinary system, and even the spleen. The most common location is the urinary bladder trigone,though it can also appear in the periurethral area or at the bladder neck. Here, we present a case involvingperineal ectopic prostate tissue that manifested as a significant mass. A 52-year-old man visited a colorectalclinic due to a bulging, mass-like lesion in the perineal region. Perineal soft tissue sonography identified asolid-cystic mass, while pelvic magnetic resonance imaging (MRI) revealed a large solid-cystic mass locatedposterior to the sacrum, beneath the skin. Physical examination demonstrated a palpable, large perineal massextending from the inferior border of the scrotum to the anterolateral aspect of the anus. Laboratory data werewithin normal limits. Both tru-cut biopsy and fine-needle aspiration (FNA) indicated a bloody, low-cellularityspecimen with no malignant cells. Subsequently, the entire mass was excised via a transperineal approach.Pathological and immunohistochemical studies confirmed the presence of ectopic prostate tissue without anysigns of malignancy. Consequently, ectopic prostate tissue should be considered in the differential diagnosis ofany perineal mass, and surgical excision is recommended due to the potential risk of malignancy.https://colorectalresearch.sums.ac.ir/article_50904_7b975fc757f35dba409e4960588981dd.pdfectopic prostate tissueperineal masssurgery |
| spellingShingle | Mohammad Mostafa Safarpour Amin Abolhasani Foroughi Mansoureh Shokripour Seyed Vahid Hosseini Perineal Ectopic Prostate Tissue: A Rare Case and Its Clinical Implications Iranian Journal of Colorectal Research ectopic prostate tissue perineal mass surgery |
| title | Perineal Ectopic Prostate Tissue: A Rare Case and Its Clinical Implications |
| title_full | Perineal Ectopic Prostate Tissue: A Rare Case and Its Clinical Implications |
| title_fullStr | Perineal Ectopic Prostate Tissue: A Rare Case and Its Clinical Implications |
| title_full_unstemmed | Perineal Ectopic Prostate Tissue: A Rare Case and Its Clinical Implications |
| title_short | Perineal Ectopic Prostate Tissue: A Rare Case and Its Clinical Implications |
| title_sort | perineal ectopic prostate tissue a rare case and its clinical implications |
| topic | ectopic prostate tissue perineal mass surgery |
| url | https://colorectalresearch.sums.ac.ir/article_50904_7b975fc757f35dba409e4960588981dd.pdf |
| work_keys_str_mv | AT mohammadmostafasafarpour perinealectopicprostatetissueararecaseanditsclinicalimplications AT aminabolhasaniforoughi perinealectopicprostatetissueararecaseanditsclinicalimplications AT mansourehshokripour perinealectopicprostatetissueararecaseanditsclinicalimplications AT seyedvahidhosseini perinealectopicprostatetissueararecaseanditsclinicalimplications |