Suzuki K, Sugaya Y, Ochi M, Hashimoto S, Tokue A, Ishikawa S
Department of Urology, Jichi Medical School Hospital.
Hinyokika Kiyo. 1999 Feb;45(2):119-21.
A 69-year-old man presented with a complaint of pollakisuria, dysuria and anal pain. Digital rectal examination, transrectal ultrasonography and tumor marker of the prostate indicated a giant benign prostate hypertrophy (BPH), but urethrocystogram and magnetic resonance imaging (MRI) of the prostate was not typical of BPH. A diagnosis of giant BPH was made by transrectal needle biopsy of the prostate. However, symptoms of dysuria and anal pain became severe and then a catheter was indwelt into his bladder. A biopsy performed, 3 months later revealed transitional cell carcinoma in the specimens, but he suddenly died of pulmonary infarction.
一名69岁男性因尿频、排尿困难及肛门疼痛前来就诊。直肠指检、经直肠超声检查及前列腺肿瘤标志物提示为巨大良性前列腺增生（BPH），但尿道膀胱造影及前列腺磁共振成像（MRI）表现不典型。经直肠前列腺穿刺活检确诊为巨大BPH。然而，排尿困难及肛门疼痛症状加重，随后留置了膀胱导管。3个月后进行的活检显示标本中有移行细胞癌，但他突然死于肺梗死。
