El-Sharkawi S, Vaughton K
Department of Clinical Oncology Singleton Hospital Sketty Lane Swansea SA2 8QA UK.
Sarcoma. 1997;1(1):59-60. doi: 10.1080/13577149778498.
Patient. A 65-year old man who had previously undergone surgery for benign prostatic hyperplasia presented with symptoms of recurrent bladder outflow obstruction. Cystoscopy revealed the presence of recurrent tissue.Results. Histology identified a leiomyosarcoma. Several years after further surgery and radiotherapy, the patient presented with secondaries in the lungs and brain, but there was no evidence of local recurrence.Discussion. It is suggested that combined modality therapy (conservative surgical resection followed by adjuvant radical radiotherapy) be the initial treatment for prostatic leiomyosarcoma.
患者。一名65岁男性，既往因良性前列腺增生接受过手术，现出现复发性膀胱流出道梗阻症状。膀胱镜检查发现有复发性组织。结果。组织学检查确诊为平滑肌肉瘤。进一步手术和放疗几年后，患者出现肺和脑转移，但无局部复发迹象。讨论。建议联合治疗（保守性手术切除后辅助根治性放疗）作为前列腺平滑肌肉瘤的初始治疗方法。
