Case Report

Primary Myeloid Sarcoma of the Prostate: A Case Report and Literature Review

Table 2

Secondary myeloid sarcoma of the prostate.

CaseAgeSymptomsHematological diagnosisTime from systemic disease to MSTreatmentOutcomes

7 [13]61Hematuria and frequencyAMLDiagnosed simultaneouslyDoxorubicin, vincristine, cytarabine, and prednisoneDied 5.5 months after MS diagnosis
8 [14]65Urinary retention and weight lossAML-M4 (FAB classification)Diagnosed simultaneouslyChemotherapy (unspecified)Died 3 weeks after MS diagnosis
9 [15]72Urinary retentionCMMLDiagnosed simultaneouslyEtoposideCMML progressed to AML at 3 months and then died at 4 months after MS diagnosis
10 [16]N/AUrinary retentionAMLDiagnosed simultaneouslyChemotherapy (unspecified)Died; no details
11 [17]8Urinary retentionAML-M2 (FAB classification)Diagnosed simultaneouslyHigh-dose cytarabineN/A
12 [18]44Lower urinary tract symptomsAMLDiagnosed simultaneouslyChemotherapy and SCTCR and further follow-up N/A
13 [13]72Urinary retention and testicular painMDS11 monthsRT to the prostate bed for hematuriaN/A
14 [19]65Asymptomatic, indurated PSAAML-M5 (FAB classification)13 monthsRT and then salvage chemotherapyInitially treated with RT, developed AML relapse at 2 months, and underwent salvage chemotherapy. Alive at 5 months after MS diagnosis
15 [20]68Urinary retentionAML-M2 (FAB classification)9 yearsRT and chemotherapy (unspecified)Progressed to AML at 6 months after MS diagnosis and died during salvage chemotherapy shortly after
16 [6]66Asymptomatic, rising PSAMDS status after SCT6 monthsInduction chemotherapy and donor lymphocyte infusionCR and alive at 1 year after MS diagnosis

AML: acute myeloid leukemia; CMML: chronic myelomonocytic leukemia; FAB classification: French-American-British classification; MDS: myelodysplastic syndrome; MS: myeloid sarcoma; N/A: not available; PSA: prostate-specific antigen; SCT: stem cell transplant.