PTU - Polskie Towarzystwo Urologiczne
list of articles:

Neurosarcoma of the neurovascular bundle of the prostate
Article published in Urologia Polska 2005/58/3.

authors

Andrzej Paradysz 1, Marcin Życzkowski 1, Adam Ziółkowski 2, Andrzej Kupilas 1, Mieczysław Fryczkowski 1
1 Katedra i Klinika Urologii w Zabrzu ¦l±skiej Akademii Medycznej w Katowicach
Kierownik kliniki: prof. dr hab. Mieczysław Fryczkowski
2 Katedra i Zakład Patomorfologii Wydziału Lekarskiego w Zabrzu ¦l±skiej Akademii Medycznej w Katowicach
Kierownik zakładu: dr hab. prof. ¦AM Andrzej Gabriel

keywords

prostate, neurovascular bundle, neurosarcoma

summary

Introduction.
Malignant tumors of the peripheral nerves, especially in retrovesical location related to neurovascular bundle of the prostate are very rare. Treatment is difficult, and prognosis uncertain. Recurrences after non-radical operations are quite often.
The aim of the study.
Very rare tumor in retrovesical location is described. Diagnostic difficulties and results of surgical treatment and adjuvant radiotherapy are presented.
Material and method.
History of the patient with huge tumor of prostate area is presented. Patient underwent surgical treatment through transvesical approach and adjuvant radiotherapy. Nowadays, 4 years after the treatment, results of every follow-up examination are normal. Patient has no complaint, no problems with urine continence and erection.
Conclusions.
This case is presented because of rareness of occurrence, obtained 4-years survival and excellent quality of life after therapy.

references

  1. Garcia Figueiras R, Sousa Escandon A, Garcia Figueiras A, Gonzalez Rodriguez AA: Unusual retrovesical masses in men. Eur Radiol 2000; 10; 1639-1643.
  2. Gonzalez Enquita C, Caro Cebrian C, Gil Sanz MJ, Rodriguez Vela L: Obstruction of the upper urinary tract caused by a malignant retrovesical schwannoma. Therapeutic strategy. Actas Urol Esp 1990; 14; 46-49.
  3. Gonzalvo Perez V, Polo Peris A, Gomez Castro A, Presentia Rubio G: Retrovesical schwannosarcoma. Actas Urol Esp 1997; 21; 416-419.
  4. Witeska A, Pypno W, D±bkowski S: Nerwiakomięsak przestrzeni zaotrzewnowej. Przegl Lek 1982; 39; 581-582.
  5. Koziak A, Szcze¶niewski R, Kania P, Marcheluk A: Olbrzymi pozaotrzewnowy guz typu schwannoma imituj±cy guz nadnercza. Urol Pol 2004; 57 (3); 78-80.
  6. Sorensen C, Kristiansen VB, Luke M: Infravesical obstruction caused by a retrovesical malignant schwannoma. Scand J Urol Nephrol 1987; 21; 155-157.
  7. Maeda N, Yoshida T, Higuchi Y: A case of retroperitoneal schwannoma: diagnostic usefulness of magnetic resonance imaging. Hinyokika Kiyo 2000; 46; 173-175.
  8. Klein A, D±bska M, Adamus J et al: Mięsak nerwów obwodowych ? neurosarcoma. Pol Tyg Lek 1973; 28; 91-93.
  9. Angelov L, Davis A, O?Sullivan B et al: Neurogenic sarcomas: experience at the University of Toronto. Neurosurgery 1998; 43 (1): 56-64.

correspondence

Andrzej Paradysz
Katedra i Klinika Urologii ¦AM
ul. 3 Maja 13/15
41-800 Zabrze
tel. (032) 271 65 11
parady@poczta.onet.pl