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一名年轻成年人的前列腺基质肉瘤:病例报告

Prostatic stromal sarcoma in a young adult: a case report.

作者信息

Chang Y-S, Chuang C K, Ng K F, Liao S-K

机构信息

Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

出版信息

Arch Androl. 2005 Nov-Dec;51(6):419-24. doi: 10.1080/014850190947822.

Abstract

Prostate stromal sarcoma is quite rare, comprising only 0.1-0.2% of all prostate cancers. Here, we report one case of prostate stromal sarcoma in a 38-year-old man. Initially, the patient suffered from lower urinary tract symptoms, and intravenous pyelography showed a larger filling defect in the bladder. Transrectal ultrasound showed a huge heterogenous mass between the bladder and rectum. Abdominal computed tomography revealed prostate tumor with local invasion. Radical cystoprostatectomy with ileal conduit was performed; pathology revealed high-grade prostate stromal sarcoma with invasion to the right seminal vesicle and urethra. This article describes the pathology and immunohistrochemical features of this case and briefly reviews the literature.

摘要

前列腺间质肉瘤非常罕见,仅占所有前列腺癌的0.1 - 0.2%。在此,我们报告一例38岁男性的前列腺间质肉瘤病例。最初,该患者出现下尿路症状,静脉肾盂造影显示膀胱内有较大的充盈缺损。经直肠超声显示膀胱和直肠之间有一个巨大的异质性肿块。腹部计算机断层扫描显示前列腺肿瘤伴局部侵犯。行根治性膀胱前列腺切除术并留置回肠导管;病理显示为高级别前列腺间质肉瘤,侵犯右侧精囊和尿道。本文描述了该病例的病理和免疫组织化学特征,并简要回顾了相关文献。

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