Every Transurethral Resection of the Prostate Is Not Just Benign Prostatic Hyperplasia

This case study emphasizes the importance of thoroughly evaluating transurethral resection of prostate (TURP) specimens for not only benign prostatic hyperplasia and prostate cancer but also rare tumors such as solitary fibrous tumors. An 86-year-old male with urinary retention symptoms was found to have prostatic adenocarcinoma (Gleason score 3 + 4 = 7) and a concurrent solitary fibrous tumor, a rare finding with only about 50 cases reported in literature. The patient was treated and remained symptom-free 9 months post-procedure. This case underscores the need for pathologists to be vigilant for multiple concurrent lesions in prostatic tissue.