• Jin Zhou, Wen-Feng Wu, Wenbin Zhang, Jun Xin, and Wen-Hui Lei.
• Department of Urology, The first hospital of Quanzhou affiliated to Fujian Medical University, Quanzhou, Fujian, China.
• Medicine (Baltimore). 2020 Apr 1; 99 (17): e19852.

IntroductionMost pheochromocytomas of the urinary tract are located in the bladder. However, ectopic prostate pheochromocytomas have rarely been reported. We herein report an unusual case of ectopic prostate pheochromocytoma successfully treated by transurethral resection of the prostate (TURP).Patient ConcernsA 44-year-old Asian man with no significant previous medical history such as hypertension, presented to the urologist complaining of palpitations and anxiety on urination for more than 1 month.DiagnosesPathological examination confirmed ectopic prostate pheochromocytoma.InterventionsAn ectopic prostate pheochromocytoma without definite metastasis was confirmed. The lesion was successfully treated via TURP.OutcomesAll of his symptoms completely and immediately disappeared after surgery. Over a 21-month follow-up period, a repeat abdominal computed tomography (CT) scan did not show any evidence of recurrence.ConclusionWhen patients present with symptoms of catecholamine excess on urination, extra-adrenal pheochromocytoma in the prostate should also be considered. TURP may be a viable option for therapy.

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