Prostatic Rhabdomyoma in a Toddler: A Case Report With Molecular Characterization

We present a 29-month-old male patient in follow-up due to pyelocaliceal dilation with a prostatic nodule incidentally found during ultrasound evaluation. Cysto video endoscopy was performed and a prostate biopsy, obtained. Microscopic evaluation showed a haphazardly distributed population of muscul...

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Veröffentlicht in:Pediatric and developmental pathology 2022-03, Vol.25 (2), p.203-206
Hauptverfasser: De la Iglesia Niveyro, Paola X., Pandolfi, J., Jauk, F., Kreindel, T., Lobos, P.
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container_end_page 206
container_issue 2
container_start_page 203
container_title Pediatric and developmental pathology
container_volume 25
creator De la Iglesia Niveyro, Paola X.
Pandolfi, J.
Jauk, F.
Kreindel, T.
Lobos, P.
description We present a 29-month-old male patient in follow-up due to pyelocaliceal dilation with a prostatic nodule incidentally found during ultrasound evaluation. Cysto video endoscopy was performed and a prostate biopsy, obtained. Microscopic evaluation showed a haphazardly distributed population of muscular cells with cross striations without evidence of mitosis or necrosis. Immunohistochemistry was positive for myogenin and desmin and negative for smooth muscle actin. Next generation sequencing was performed without finding any pathogenic variant or fusion in the tumor RNA. The patient received no further treatment, remained asymptomatic and continues in follow up, 3 years after initial diagnosis. We report a case of prostate rhabdomyoma in a toddler, an exceptional location that raises concern about differential diagnosis with its malignant counterpart, rhabdomyosarcoma, especially at this age.
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Cysto video endoscopy was performed and a prostate biopsy, obtained. Microscopic evaluation showed a haphazardly distributed population of muscular cells with cross striations without evidence of mitosis or necrosis. Immunohistochemistry was positive for myogenin and desmin and negative for smooth muscle actin. Next generation sequencing was performed without finding any pathogenic variant or fusion in the tumor RNA. The patient received no further treatment, remained asymptomatic and continues in follow up, 3 years after initial diagnosis. 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subjects Biopsy
Child, Preschool
Diagnosis, Differential
Humans
Immunohistochemistry
Male
Prostate - pathology
Rhabdomyoma - diagnosis
Rhabdomyoma - genetics
Rhabdomyoma - pathology
Rhabdomyosarcoma - diagnosis
Rhabdomyosarcoma - genetics
title Prostatic Rhabdomyoma in a Toddler: A Case Report With Molecular Characterization
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