Unusual Cause of Acute Urinary Retention in Young Male Patient: Primary Synovial Sarcoma of Prostate—A Case Report

Santhoshkumar Bandegudda; Rakesh Sharma Manilal; Ashwin Giridhar; B. Vishal Rao

doi:10.1055/s-0042-1758052

The Surgery Journal, Table of Contents

CC BY 4.0 · Surg J (N Y) 2022; 08(04): e316-e321
DOI: 10.1055/s-0042-1758052

Case Report

Unusual Cause of Acute Urinary Retention in Young Male Patient: Primary Synovial Sarcoma of Prostate—A Case Report

Santhoshkumar Bandegudda

¹Department of Surgical Oncology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana, India

,

Rakesh Sharma Manilal

²Division of Uro-Oncology, Department of Surgical Oncology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana, India

,

Ashwin Giridhar

²Division of Uro-Oncology, Department of Surgical Oncology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana, India

,

B. Vishal Rao

³Department of Pathology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana, India

› Author Affiliations

Abstract

Introduction Primary synovial sarcoma (SS) of the prostate is the rarest variety of prostate sarcoma. The first documented and confirmed case of SS of the prostate was published by Iwasaki et al in the year 1999; since then, only a few cases of primary SS of the prostate have been published in English literature.

Case Report We report a unique case of primary SS in a young patient who presented with acute urinary retention and underwent emergency suprapubic catheterization, and on evaluation was diagnosed with primary SS of the prostate. Patient was managed with radical cystoprostatectomy and resection of the anterior wall of rectum infiltrated by the tumor with bilateral pelvic lymph node dissection and adjuvant chemotherapy. Patient died after 2 months of surgery.

Conclusion Primary SS of the prostate is a rare disease and important clinical entity to be included in differential diagnosis of acute urinary retention in young patients. It is associated with high local recurrence and poor prognosis, which warrants multidisciplinary approach of treatment.

Keywords

primary synovial sarcoma - prostate sarcoma - prostate synovial sarcoma - sarcoma - synovial sarcoma

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References

References
1 Ding B, Zhang Y, Hu W. et al. Adult primary prostate sarcoma: a multi-center cohort study and comparison between Chinese and American cases. Asian J Surg 2021; 44 (01) 247-253
2 Iwasaki H, Ishiguro M, Ohjimi Y. et al. Synovial sarcoma of the prostate with t(X;18)(p11.2;q11.2). Am J Surg Pathol 1999; 23 (02) 220-226
3 Nielsen TO, Poulin NM, Ladanyi M. Synovial sarcoma: recent discoveries as a roadmap to new avenues for therapy. Cancer Discov 2015; 5 (02) 124-134
4 Naka N, Takenaka S, Araki N. et al. Synovial sarcoma is a stem cell malignancy. Stem Cells 2010; 28 (07) 1119-1131
5 Olofson AM, Linos K. Primary intraprostatic synovial sarcoma. Arch Pathol Lab Med 2017; 141 (02) 301-304
6 Sultan I, Rodriguez-Galindo C, Saab R, Yasir S, Casanova M, Ferrari A. Comparing children and adults with synovial sarcoma in the Surveillance, Epidemiology, and End Results program, 1983 to 2005: an analysis of 1268 patients. Cancer 2009; 115 (15) 3537-3547
7 Al-Hussaini H, Hogg D, Blackstein ME. et al. Clinical features, treatment, and outcome in 102 adult and pediatric patients with localized high-grade synovial sarcoma. Sarcoma 2011; 2011: 231789
8 Zhang Q, Wang H, Ren L, Qi X, Liu F, Zhang D. Primary synovial sarcoma of the prostate metastatic to the liver and lung: a case report. World J Surg Oncol 2014; 12: 194
9 Williams DH, Hua VN, Chowdhry AA. et al. Synovial sarcoma of the prostate. J Urol 2004; 171 (6 Pt 1): 2376
10 Pan CC, Chang YH. Primary synovial sarcoma of the prostate. Histopathology 2006; 48 (03) 321-323
11 Fritsch M, Epstein JI, Perlman EJ, Watts JC, Argani P. Molecularly confirmed primary prostatic synovial sarcoma. Hum Pathol 2000; 31 (02) 246-250
12 Hou D, Wang X, Xia Q, Zong Y. Primary prostate synovial sarcoma: a case report and review of literature. Int J Surg Case Rep 2022; 96: 107265 Epub ahead of print
13 Jun L, Ke S, Zhaoming W, Linjie X, Xinru Y. Primary synovial sarcoma of the prostate: report of 2 cases and literature review. Int J Surg Pathol 2008; 16 (03) 329-334
14 Shirakawa T, Fujisawa M, Gotoh A, Okada H, Arakawa S, Kamidono S. Complete resection of synovial sarcoma of prostatic fascia. Urology 2003; 61 (03) 644
15 Dhabalia JV, Nelivigi GG, Singh Punia M. et al. A rare case of synovial sarcoma of the prostate. Afr J Urol 2009; 15 (03) 183-185
16 Olivetti L, Benecchi L, Corti S. et al. Monophasic synovial sarcoma of prostatic fascia: case report and literature review. Case Rep Urol 2015; 2015: 419180
17 Maleki S, Cajigas A, Moss J, Ramesh KH, Khader S. Fine-needle aspiration biopsy of prostate synovial sarcoma: a case report and review of the literature. Diagn Cytopathol 2017; 45 (02) 168-172