Incidental Lymphoplasmacytic Lymphoma Diagnosed Following Robotic-Assisted Laparoscopic Prostatectomy for Prostate Cancer

Omar El-Taji, Altan Omer, Abdullah Al-Mitwalli, Samita Agarwal, Anand Sharma, Nikhil Vasdev

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Abstract

We report a case of prostatic lymphoma of the Walden-ström's macroglobulinemia subtype in a 64-year-old gentleman who underwent a robotic-assisted laparoscopic prostatectomy following lower urinary tract symptoms and high grade adenocarcinoma on transperineal prostate biopsy's. Histopathological and immunohistochemistry analysis at the time of surgery was consistent with a CD5-negative small B-cell lymphoma. To our knowledge this is the first reported prostatic lymphoma identified following robotic-assisted laparoscopic prostatectomy and the first documented case of lymphoplasmacytic lymphoma involving prostate. Lymphoma of the prostate is an uncommon entity in surgical practice and their diagnosis often poses considerable difficulty as they often mimic carcinoma. We discuss this rare diagnosis and review the literature for current considerations and prognosis.
Original languageEnglish
Pages (from-to)166-168
Number of pages3
JournalCurrent Urology
Volume13
Issue number3
Early online date13 Nov 2019
DOIs
Publication statusE-pub ahead of print - 13 Nov 2019

Keywords

  • Lymphoma
  • Prostate Cancer
  • Robotic assisted laparoscopic prostatectomy

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