Preprint Interesting Images Version 1 Preserved in Portico This version is not peer-reviewed

Atypical Prostatic Stromal Sarcoma Presented with T2WI Central Heterogeneous Hyperintense Lesion Showing Peripheral Zone & Peri Prostatic Fat Invasion

Version 1 : Received: 19 May 2023 / Approved: 22 May 2023 / Online: 22 May 2023 (10:51:05 CEST)

How to cite: Mazroa, J.A.; Almakhalas, K.A.; Bashanfer, G.A. Atypical Prostatic Stromal Sarcoma Presented with T2WI Central Heterogeneous Hyperintense Lesion Showing Peripheral Zone & Peri Prostatic Fat Invasion. Preprints 2023, 2023051509. https://doi.org/10.20944/preprints202305.1509.v1 Mazroa, J.A.; Almakhalas, K.A.; Bashanfer, G.A. Atypical Prostatic Stromal Sarcoma Presented with T2WI Central Heterogeneous Hyperintense Lesion Showing Peripheral Zone & Peri Prostatic Fat Invasion. Preprints 2023, 2023051509. https://doi.org/10.20944/preprints202305.1509.v1

Abstract

We present a case of neglected atypical high grade prostatic stromal sarcoma (PSS) at the transitional zone , invading the peripheral zone, prostatic capsule & peri prostatic fat reaching to pelvic side wall, it showed T2WI hyperintense signal (compared to typical cases of PSS showing T2WI hypointense signal) corresponding to developing on top of pre-existing nodular hyperplasia. Careful reviewing of prostatic central / transitional zone lesions is mandatory especially at T2WI, diffusion & contrast images to exclude malignancy which can be easily missed due to multiple signal patterns described. Most common tumors at transitional zone is stromal sarcoma which could be typical showing T2 hypointense signal or atypical showing T2 hyperintense signal intensity.

Keywords

prostatic carcinoma; MRI prostate; MRI prostate stromal sarcoma

Subject

Medicine and Pharmacology, Other

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