Clear cell carcinoma of the seminal vesicle in a young adult. Issue 5 (13th July 2022)

• Record Type: Journal Article
• Authors: Murakami, Hidetoshi; Motoshima, Takanobu; Kurahashi, Ryoma; Murakami, Yoji; Sugiyama, Yutaka; Yamaguchi, Takahiro; Yatsuda, Junji; Asato, Tsuguharu; Mikami, Yoshiki; Kamba, Tomomi
• Is Part Of: IJU case reports. Volume 5:Issue 5(2022)
• Page Start: 406
• Page End: 409
• Publication Date: 2022-07-13
• Subjects: clear cell carcinoma -- laparoscopy -- Müllerian duct -- prostate -- seminal vesicle; Urology -- Periodicals; Genitourinary organs -- Periodicals; Electronic journals; Periodicals; 616.6
• DOI: 10.1002/iju5.12502
• Languages: English
• ISSNs: 2577-171X

Abstract

Abstract : Introduction: 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.