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Giant Multilocular Cystadenoma of the Prostate

David Rusch1, Alireza Moinzadeh2, Karim Hamawy2 and Carl Larsen1

1 Department of Radiology, Lahey Clinic, 41 Mall Rd., Burlington, MA 01805.
2 Department of Urology, Lahey Clinic, Burlington, MA 01805.



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  		Fig. 1A. —30-year-old man with urinary retention. CT scan shows large complex cystic mass in expected location of prostate gland. Mass displaces bladder (arrowhead) anteriorly and sigmoid colon (arrow) laterally.

 


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  		Fig. 1B. —30-year-old man with urinary retention. Endorectal sonogram reveals multiseptated cystic mass (arrow) arising from normal prostatic tissue. Bladder (arrowhead) can be seen anteriorly.

 


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  		Fig. 1C. —30-year-old man with urinary retention. Photograph shows gross pathologic specimen of giant multilocular cystadenoma.

 


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  		Fig. 2A. —41-year-old man with acute urinary retention. CT scan shows large multiloculated cystic mass arising from prostate gland, which is displaced to right side. Bladder (arrow) is filled with contrast material, and Foley catheter (arrowhead) is seen in prostatic urethra.

 


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  		Fig. 2B. —41-year-old man with acute urinary retention. CT scan obtained 1 year after surgical resection of mass shows recurrence of loculated cysts in lower pelvis. Foley catheter (arrow) was placed to alleviate urinary obstruction.

 


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  		Fig. 2C. —41-year-old man with acute urinary retention. Sagittal T2-weighted MR image obtained at same time as B reveals recurrent large multiloculated cystic mass that displaces bladder (arrow) anteriorly.

 

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