Cases
Man in his late thirties with pelvic mass   

Discussion

Prostatic-type epithelial polyps

Prostatic-type epithelial polyps were first described approximately 100 years ago. Since then, such lesions have been uncommonly found within the urinary tract, often forming on the posterior urethra The minority of lesions found in the bladder are in the trigone. To the best of our knowledge, our case report is only the second featured within the literature to include involvement of the right lateral bladder wall.

In diagnostic evaluation of prostatic-type polypoid urothelial lesions, great consideration must be given to prostatic ductal adenocarcinoma. This vital differential for exclusion typically contains a comparatively enhanced architectural complexity of cribriform and anastomosing cords, pseudostratified columnar epithelium, and prominent nucleoli belying low-grade nuclear features. Immunohistochemical staining of prostatic ductal adenocarcinoma is similarly positive for PSA and PAP/PSAP.

Other differential diagnoses to consider in evaluation of a prostatic-type lesion of the urothelium include urothelial carcinoma with glandular differentiation, papillary urothelial neoplasm, benign prostatic hyperplasia (BPH), nephrogenic adenoma, polypoid or papillary cystitis, cystitis cystica, and cystitis glandularis.

References

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