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89, 5.00 and 2.36 mm, respectively. For the upper and lower clips, axial displacement (y) was greater than radial displacement (x, z; Pselleck chemicals the distal tumor end is located in proximity to the GEJ.""Sarcoma of the prostate is a rare malignant carcinoma of genitourinary cancer. According to different histological types, it can be divided into prostate leiomyosarcoma, rhabdomyosarcoma, fibrosarcoma and spindle cell sarcoma (3). The anatomic structure of prostate leiomyosarcoma was the mesenchymal tissue in the prostate smooth muscle. The development is rapid and as early as the time to reveal a metastatic mass. This disease accounts for ~0.1% of all prostate cancer cases and it normally occurs in patients Luminespib molecular weight aged between 40 and 78-year-old (1). Clinical symptoms are not normally significant. The majority of the symptoms revealed only mild to moderate urinary tract obstructive symptoms, including frequent urination, urine urgency, voiding difficulty, hematuria and perineal pain. No significant abnormal changes were observed in the prostatic physical examination, and the prostate volume and serum PSA levels remain in the normal range (4), whereas the imaging examination, including B-type ultrasound can often be reveal the early stage carcinoma as it always develops with an invasive growth. The differential diagnosis of prostate leiomyosarcoma includes leiomyosarcoma, which originated in the bladder or adjacent to the predominant blood vessels, as well as other rare benign or malignant primary prostate spindle cell tumors. Imaging or radiology examination, including computed tomography, may be important in the identification. The most common confirmed diagnostic method was the B-ultrasound guided transrectal prostate biopsy or transurethral resection of the prostate. Additionally, Barwad et al (5) reported that fine needle aspiration cytology can also Fleroxacin be adopted for the initial diagnosis of prostate leiomyosarcoma. Prostate leiomyosarcoma tissue exhibited moderate to severe abnormal spindle cells cross-enriched under the microscope. The degree of cell atypia, the lesion site, the degree of mitosis and the rate of infiltration can be used to distinguish the low-grade malignant smooth muscle sarcoma and leiomyoma on the pathological section. A closer association was observed between the degree of atypia/mitosis and the characteristics of the disease. Even though it was reported that leiomyosarcoma cells with more atypia or mitosis tend to have higher degree of malignancy (6), certain low-grade prostate leiomyosarcoma were reported (7).