Open AccessClear cell carcinoma of the seminal vesicle in a young adult
Author(s) -
Murakami Hidetoshi,
Motoshima Takanobu,
Kurahashi Ryoma,
Murakami Yoji,
Sugiyama Yutaka,
Yamaguchi Takahiro,
Yatsuda Junji,
Asato Tsuguharu,
Mikami Yoshiki,
Kamba Tomomi
Publication year - 2022
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12502
Subject(s) - seminal vesicle , cystoscopy , medicine , prostate , urology , rectal examination , magnetic resonance imaging , prostate cancer , pathology , prostatectomy , radiology , cancer , alternative medicine
Most seminal vesicle malignancies are secondary to prostate or bladder cancer. Herein, we report a case of primary clear cell carcinoma of the seminal vesicle. Case presentation A 27‐year‐old man was referred to our department for hematospermia and macroscopic hematuria. A digital rectal examination showed a soft elastic prostatic mass. Cystoscopy showed no bladder abnormalities, and tumor marker tests were unremarkable. Contrast‐enhanced computed tomography and magnetic resonance imaging revealed a cystic tumor containing an enhanced nodule near the prostate and seminal vesicle. The tumor was removed en bloc with the prostate and seminal vesicle through a laparoscopic radical prostatectomy. A histopathologic examination confirmed the diagnosis, with the tumor likely arising from a remnant Müllerian epithelium. A 1‐year follow‐up revealed local tumor recurrence, prompting laparoscopy. Conclusion A standard therapy for primary seminal vesicle carcinoma has not been established. Further studies are necessary to determine the optimal treatment strategy.