Diagnosis and Treatment of Prostatic Sarcoma: Advances in the Understanding of a Rare and Aggressive Disease

Prostatic sarcoma is a rare and aggressive disease that accounts for less than 1% of all diagnosed malignant prostate tumors. It mainly affects older men its epidemiology still not well defined due to the lack comprehensive registries. The clinical presentation prostatic variable, with urinary symptoms, pelvic or lumbar pain systemic symptoms. Diagnosis requires evaluation including history, physical examination, biopsy imaging studies. Treatment individualized multidisciplinary, surgery, radiotherapy, chemotherapy targeted therapies. However, rarity this disease, evidence on efficacy different treatments limited. More research needed better understand sarcoma, develop more effective therapeutic strategies improve outcomes affected patients.