Primary prostate Burkitt's lymphoma resected with holmium laser enucleation of the prostate:A rare case report

BACKGROUND Primary prostate Burkitt's lymphoma is a rare and aggressive condition with a poor prognosis.Its clinical presentation can be challenging to differentiate from benign prostatic hyperplasia.Given the rarity of primary prostate Burkitt's lymphoma,its diagnosis and treatment remain unclear.CASE SUMMARY This report presents a case of a 57-year-old male with primary prostate Burkitt's lymphoma,initially misdiagnosed as prostatic hyperplasia.This case's operative process,intraoperative findings and postoperative management are discussed in detail.CONCLUSION Primary prostate lymphoma is difficult to distinguish from other prostate diseases.Holmium laser enucleation of the prostate(HoLEP),a minimally invasive procedure,is crucial in diagnosing and treating this rare disease.Clinicians should remain vigilant and thoroughly combine physical examination,imaging and test results when encountering patients of younger age with small prostate size but a rapid progression of lower urinary tract symptoms.HoLEP is an essential diagnostic and therapeutic tool in managing primary prostate Burkitt's lymphoma.

Rare coexistence of multiple manifestations secondary to thalamic hemorrhage:A case report

BACKGROUND A growing body of literature indicates that the occurrence of thalamic lesions could lead to various dysfunctions,such as somatosensory disturbances,hemiparesis,language deficits,and movement disorders.However,clinical cases describing the coexistence of these types of manifestations have not been reported.Herein,we report a patient who exhibited these rare complications secondary to thalamic hemorrhage.CASE SUMMARY A 53-year-old right-handed man experienced sudden left hemiparesis,numbness of the left side of body,and language alterations due to an acute hemorrhage located in the right basal ganglia and thalamus 18 mo ago.Approximately 17 mo after the onset of stroke,he exhibited rare complications including dysphasia,kinetic tremor confined to the left calf,and mirror movement of the left arm which are unique and interesting,and a follow-up computed tomography scan revealed an old hemorrhagic lesion in the right thalamus and posterior limb of the internal capsule.CONCLUSION Hypophonia may be a recognizable clinical sign of thalamus lesions;thalamus injury could cause tremor confined to the lower extremity and mimicking extremity movements.