A New Treatment for Primitive Neuroectodermal Tumor (PNET) of Prostate: Total Pelvic Exenteration (TPE) and Double Diversion

Lichen Teng, Wei Liangjun, Yongpeng Xu and Changfu Li

Department of Urology, Harbin Medical University Cancer Hospital, Harbin city, China

^*Correspondance to: Changfu Li 

 PDF  Full Text DOI: 10.25107/2474-1647.1758

Abstract

Introduction: To report a rare case of Primitive Neuroectodermal Tumor (PNET) of prostate and to present a new surgical method for PNET of prostate.Materials and
Methods: A 27-year-old male was admitted to Harbin Medical University Cancer Hospital (Harbin, China) for dysuria and dyschezia, magnetic resonance imaging (MRI) reveal a large mass that may involve bladder and rectum in the prostate region. Histopathological analysis of biopsy of prostate indicated mesenchymal origin tumor, and immunohistochemistric confirmed diagnosis of PNET of prostate. En bloc Total Pelvic Exenteration (TPE) and double barrel sigmoidostomy were performed. Double stomas in the skin incision are used for fecal and urinary diversion, respectively.Results: Related complications, such as urinary tract infection and ileus do not occur. Short-term outcome in the case is satisfactory, normal diet can be taken. However long-term efficacy remains to be evaluated.Conclusion: Clinical features of PNET of prostate should be paid much more attention and radical surgery is recommended.

Keywords

Prostate; Primitive neuroectodermal tumor; Total pelvic exenteration; Double barrel sigmoidostomy

Cite the article

Teng L, Liangjun W, Xu Y, Li C. A New Treatment for Primitive Neuroectodermal Tumor (PNET) of Prostate: Total Pelvic Exenteration (TPE) and Double Diversion. Clin Surg. 2017; 2: 1758.