Sano Takeshi, Nishiyama Hiroyuki, Kanematsu Akihiro, Takahashi Takeshi, Nakamura Eijiro, Kamoto Toshiyuki, Mikami Yoshiki, Koyama Takashi, Ogawa Osamu
Department of Urology, Kyoto University Graduate School of Medicine.
Hinyokika Kiyo. 2007 Dec;53(12):897-901.
A 49-year-old man presented to our hospital complaining of difficulty in urination. Magnetic resonance imaging revealed a 10 cm mass posterolateral to the bladder. It was separated from the bladder, seminal vesicle and rectum, but indistinct from the prostate. Preoperative pathological diagnosis was established by transrectal needle biopsy as solitary fibrous tumor. The tumor and the prostate were resected en bloc by retropubic radical prostatectomy, while the bladder and rectum were preserved. The surgical margin was negative and no relapse was noted six months postoperatively.
一名49岁男性因排尿困难前来我院就诊。磁共振成像显示膀胱后外侧有一个10厘米的肿块。它与膀胱、精囊和直肠分离,但与前列腺界限不清。经直肠穿刺活检术前病理诊断为孤立性纤维瘤。通过耻骨后根治性前列腺切除术将肿瘤与前列腺整块切除,同时保留膀胱和直肠。手术切缘阴性,术后6个月未发现复发。