Abstract
Follow up cystoscopy clearly showed tan, friable bladder neck mass. After transurethral resection, pathology identified a solitary fibrous tumor with diffuse mitotic features concerning for malignancy. Due to these features and the site of tumor being the trigone and bladder neck, a partial cystectomy was unfeasible. The patient elected to undergo a radical cystoprostatectomy with ileal conduit diversion. A 6.5 X 4 X 4.5 cm butterfly shaped tanwhite solid mass at the junction of the bladder neck was present without invasion into the prostate (Figure 2).
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