Creeping suprapubic catheter site growth-a unique presentation in a case of carcinoma prostate

Krishnakanth A. V. B.; Abhijit Shah; Chaitanya K. S.; Padmaraj Hegde

doi:10.18203/2320-6012.ijrms20241922

Authors

Krishnakanth A. V. B. Department of Urology and Renal Transplant, Kasturba Medical College and Hospital, Manipal, Karnataka, India
Abhijit Shah Department of Urology and Renal Transplant, Kasturba Medical College and Hospital, Manipal, Karnataka, India
Chaitanya K. S. Department of Urology and Renal Transplant, Kasturba Medical College and Hospital, Manipal, Karnataka, India
Padmaraj Hegde Department of Urology and Renal Transplant, Kasturba Medical College and Hospital, Manipal, Karnataka, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241922

Keywords:

Prostate, Spindle, Prostatic PSCN, Prostate PSCN, Suprapubic growth

Abstract

Postoperative spindle cell nodule (PSCN) is a scarcely studied benign histopathological variant of prostatic growth. This case report demonstrates an extensive growth arising from the suprapubic cystostomy site in the background of carcinoma prostate. An 82-year-old gentleman, diagnosed with primary carcinoma of prostate who underwent channel transurethral resection of prostate (TURP) and subsequent suprapubic catheterisation (SPC) in view of acute retention at a later time period, presented with an exophytic ulcer-proliferative growth along the SPC. The unique presentation as described in our case report, poses a diagnostic conundrum that requires a mention in the literature. Edge wedge biopsy of the lesion revealed it to be a spindle cell neoplasm. The unique case of SPC site involvement by prostatic growth raises questions about the nature of any such growth, with a possibility of it being benign growth and an excellent long-term prognosis for such patients with regard to the PSCN.

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