Introduction
Phyllodes tumours, most seen in breast carcinoma, are a fibroepithelial tumour composed of both epithelial and cellular stromal tissue. Phyllodes tumours outside of breast origin are rare, and are particularly rare amongst male urogenital tumours, with less than 100 originating from the prostate and 15 in the seminal vesicles. To date there has only been one other reported case of a human phyllodes tumour of urinary bladder origin in world literature. Here in, we discuss a rare case of a 56-year-old male diagnosed with phyllodes tumour of urinary bladder.
Method/Description
A 56-year-old male presented to a Urologist for worsening lower urinary tract symptoms (LUTS), suprapubic pain and haematuria over a six-month period. His background history included a left radical nephrectomy 18 years previous due to severe hydronephrosis secondary to a benign fibroepithelial polyp of the left ureter. Cystoscopy and TURBT revealed reoccurrence of the tumour at the left ureteric orifice. After multiple subsequent attempts at local control with repeat transurethral resection of bladder tumour cystoscopies, the patient subsequently underwent a partial cystectomy to achieve cure. A routine renal ultrasound 3 years later revealed a recurrence of tumour. He subsequently underwent radical cystoprostatectomy.
Consclusions
Phyllodes tumours are rare, and exceedingly rare within the urological system. Due to the nature of local recurrence if margins are not clean, disease control can be difficult to achieve via cystoscopy with a high rate of recurrence. Definitive surgical resection via partial or radical cystectomy is often required.