Small lymphocytic lymphoma of the prostate mimicking a PIRADS 5 lesion that resolved after systemic treatment

Prostatic PIRADS 4 and 5 lesions on multiparametric MRI typically represent adenocarcinoma with small lymphocytic lymphoma being a rare pathological finding. We report a case of small lymphocytic lymphoma masquerading as PIRADS 4 and 5 lesions with associated lymphadenopathy in a 69-year-old male on...

Full description

Bibliographic Details
Main Authors: Tiffany H. Wong, David Ambinder, Milana Flusberg, Fouzia Shakil, John L. Phillips, Nathan C. Wong
Format: Article
Language:English
Published: Elsevier 2021-11-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442021002151
_version_ 1819132006851674112
author Tiffany H. Wong
David Ambinder
Milana Flusberg
Fouzia Shakil
John L. Phillips
Nathan C. Wong
author_facet Tiffany H. Wong
David Ambinder
Milana Flusberg
Fouzia Shakil
John L. Phillips
Nathan C. Wong
author_sort Tiffany H. Wong
collection DOAJ
description Prostatic PIRADS 4 and 5 lesions on multiparametric MRI typically represent adenocarcinoma with small lymphocytic lymphoma being a rare pathological finding. We report a case of small lymphocytic lymphoma masquerading as PIRADS 4 and 5 lesions with associated lymphadenopathy in a 69-year-old male on active surveillance for low-risk prostate cancer that was subsequently confirmed on targeted and systematic prostate biopsy. Following treatment of lymphoma with ibrutinib, there was complete resolution of the PIRADS lesions on follow-up mpMRI.
first_indexed 2024-12-22T09:24:33Z
format Article
id doaj.art-bcb5421a887a4b69a2ba84076204bd2c
institution Directory Open Access Journal
issn 2214-4420
language English
last_indexed 2024-12-22T09:24:33Z
publishDate 2021-11-01
publisher Elsevier
record_format Article
series Urology Case Reports
spelling doaj.art-bcb5421a887a4b69a2ba84076204bd2c2022-12-21T18:31:06ZengElsevierUrology Case Reports2214-44202021-11-0139101775Small lymphocytic lymphoma of the prostate mimicking a PIRADS 5 lesion that resolved after systemic treatmentTiffany H. Wong0David Ambinder1Milana Flusberg2Fouzia Shakil3John L. Phillips4Nathan C. Wong5New York Medical College, Valhalla, NY, USANew York Medical College, Valhalla, NY, USA; Department of Urology, Westchester Medical Center, Valhalla, NY, 10595, USANew York Medical College, Valhalla, NY, USA; Department of Radiology, Westchester Medical Center, Valhalla, NY, 10595, USANew York Medical College, Valhalla, NY, USA; Department of Pathology, Westchester Medical Center, Valhalla, NY, 10595, USANew York Medical College, Valhalla, NY, USA; Department of Urology, Westchester Medical Center, Valhalla, NY, 10595, USANew York Medical College, Valhalla, NY, USA; Department of Urology, Westchester Medical Center, Valhalla, NY, 10595, USA; Corresponding author. Department of Urology, Westchester Medical Center, Valhalla, NY, 10595, USA.Prostatic PIRADS 4 and 5 lesions on multiparametric MRI typically represent adenocarcinoma with small lymphocytic lymphoma being a rare pathological finding. We report a case of small lymphocytic lymphoma masquerading as PIRADS 4 and 5 lesions with associated lymphadenopathy in a 69-year-old male on active surveillance for low-risk prostate cancer that was subsequently confirmed on targeted and systematic prostate biopsy. Following treatment of lymphoma with ibrutinib, there was complete resolution of the PIRADS lesions on follow-up mpMRI.http://www.sciencedirect.com/science/article/pii/S2214442021002151Small lymphocytic leukemiaChronic lymphocytic leukemiaProstatic lymphomaMagnetic resonance imaging
spellingShingle Tiffany H. Wong
David Ambinder
Milana Flusberg
Fouzia Shakil
John L. Phillips
Nathan C. Wong
Small lymphocytic lymphoma of the prostate mimicking a PIRADS 5 lesion that resolved after systemic treatment
Urology Case Reports
Small lymphocytic leukemia
Chronic lymphocytic leukemia
Prostatic lymphoma
Magnetic resonance imaging
title Small lymphocytic lymphoma of the prostate mimicking a PIRADS 5 lesion that resolved after systemic treatment
title_full Small lymphocytic lymphoma of the prostate mimicking a PIRADS 5 lesion that resolved after systemic treatment
title_fullStr Small lymphocytic lymphoma of the prostate mimicking a PIRADS 5 lesion that resolved after systemic treatment
title_full_unstemmed Small lymphocytic lymphoma of the prostate mimicking a PIRADS 5 lesion that resolved after systemic treatment
title_short Small lymphocytic lymphoma of the prostate mimicking a PIRADS 5 lesion that resolved after systemic treatment
title_sort small lymphocytic lymphoma of the prostate mimicking a pirads 5 lesion that resolved after systemic treatment
topic Small lymphocytic leukemia
Chronic lymphocytic leukemia
Prostatic lymphoma
Magnetic resonance imaging
url http://www.sciencedirect.com/science/article/pii/S2214442021002151
work_keys_str_mv AT tiffanyhwong smalllymphocyticlymphomaoftheprostatemimickingapirads5lesionthatresolvedaftersystemictreatment
AT davidambinder smalllymphocyticlymphomaoftheprostatemimickingapirads5lesionthatresolvedaftersystemictreatment
AT milanaflusberg smalllymphocyticlymphomaoftheprostatemimickingapirads5lesionthatresolvedaftersystemictreatment
AT fouziashakil smalllymphocyticlymphomaoftheprostatemimickingapirads5lesionthatresolvedaftersystemictreatment
AT johnlphillips smalllymphocyticlymphomaoftheprostatemimickingapirads5lesionthatresolvedaftersystemictreatment
AT nathancwong smalllymphocyticlymphomaoftheprostatemimickingapirads5lesionthatresolvedaftersystemictreatment