Mucinous adenocarcinoma of the prostate: a case report of long-term disease-free survival and a review of the literature.

Overview

A 65-year-old man presented with hematuria, postcoital bleeding, and mucoid-appearing prostatic secretions. The prostate was normal in size, boggy, and with no palpable masses. Cystoscopy revealed a prostatic wall cavity with gelatinous material exuding from the lesion. Extensive transurethral resection was performed, with approximately 37 g of tissue retrieved. Flexible sigmoidoscopy was performed to 60 cm, revealing no lesions, and stool was negative for occult blood. The pathologic diagnosis was mucinous adenocarcinoma of the prostate. Computed tomography and bone scan were negative for metastatic disease. The patient underwent uncomplicated radical prostatectomy. Fifteen years later, the patient was disease free and maintaining a healthy, active lifestyle.