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Leiomyosarcoma of Prostate
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Leiomyosarcoma of Prostate

The photograph shows the cut section of a leiomyosarcoma removed from the region of the bladder neck and prostate gland.
The external contour is irregularly lobulated but for the most part smooth. There are peripheral regions however, showing necrosis and contour irregularities.
The viable central region is light tan and fairly homogenous.
(Description By:H. Yamase, M.D. )
(Image Contrib. by: UCHC )
Leiomyosarcoma of Prostate
Etiology

Unknown.
Pathogenesis

Unknown.,
Epidemiology

Rare, however leiomyosarcomas are the most common sarcomas that involve the prostate gland in the adult.
Most patients are between 40 and 70 years old.
General Gross Description

Median size of reported cases is 5 cm.
Cut surface is tan and fleshy.
General Microscopic Description

The tumor is a spindle cell neoplasm.
The greater the nuclear pleomorphism and the greater the number of mitotic figures, the more certain one is of malignancy.
Because smooth muscle tumors are rare in the prostate, criteria distinquishing leiomyosarcoma from leiomyoma have not been established.
Clinical Correlation

Urinary obstruction.
References

Epstein JI. Prostate Biopsy Interpretation. New York: Raven Press, 1989. pp.223-224.
Leiomyosarcoma of Prostate
Synopsis by: Harold Yamase M.D. (T77100M88903)[474]
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