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We report the case of a patient affected by a voluminous prostatic tumor for which the histological analysis conclude in a stromal tumor of uncertain malignant potential. This type of tumor is rare, but requires to be individualized to differentiate it from a benign prostatic hyperplasia or a sarcoma of the prostate. The therapeutic care must be made keeping in mind the risk of degeneration towards a malignant shape., (Copyright © 2014 Elsevier Masson SAS. All rights reserved.)

We report the case of a 69-year-old man who presented with an adrenal angiosarcoma which had been discovered during prostatic adenocarcinoma staging. Twenty-two cases have been reported in the literature. All of them were of epithelioid type. Because of the epithelioid appearance and frequent expression of epithelial immunohistochemical markers, they can be confounded with adrenal carcinomatous metastases. Careful screening for vascular differentiation and immunohistochemistry with endothelial markers are essential for the diagnosis.