World J Mens Health.  2013 Aug;31(2):176-178.

Ectopic Prostate Tissue at the Bladder Dome Presenting as a Bladder Tumor

Affiliations
  • 1Department of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University School of Medicine, Seoul, Korea. yssong@schmc.ac.kr
  • 2Department of Pathology, Soonchunhyang University Seoul Hospital, Soonchunhyang University School of Medicine, Seoul, Korea.

Abstract

The presence of ectopic prostate tissue in the bladder is common, but the involvement of the bladder dome has rarely been reported. This case report describes a 72-year-old man who presented with gross painless hematuria. Cystoscopy revealed a smooth sessile mass at the dome region of the bladder. A complete transurethral resection of the mass was performed. Histopathological examination of the mass revealed the presence of benign ectopic prostatic tissue.

Keyword

Urinary bladder; Choristoma; Prostate

MeSH Terms

Aged
Choristoma
Cystoscopy
Hematuria
Humans
Prostate
Urinary Bladder
Urinary Bladder Neoplasms

Figure

  • Fig. 1 Cystoscopy results revealed a smooth sessile mass at the bladder dome.

  • Fig. 2 (A) Prostate glands in the subepithelial layer of the urinary bladder. The bladder mucosa seems to be intact (arrows) (H&E, ×40). (B) The prostate glands are composed of a distinct luminal epithelial cell layer and a basal cell layer (H&E, ×200).

  • Fig. 3 (A) Prostate glands showing irregular dilated lumens with flattened epithelial cells (H&E, ×200). (B) Immunopositive staining of most prostate glands for prostate-specific antigen (H&E, ×200).


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