Gaisa N T, Donner A, von Serenyi S, Dahl E, Grosse J, Knüchel R
Institut für Pathologie der RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen.
Pathologe. 2008 Sep;29(5):371-4. doi: 10.1007/s00292-008-1010-6.
We report a case of multifocal urothelial carcinoma in situ of the left ureter with early stromal invasion and concomitant in situ lesions in bladder, prostate and seminal vesicle. After complete topographical mapping of the cystoprostatovesiculectomy specimen the unusual manifestation of urothelial carcinoma in situ in a seminal vesicle turned out to be a tumour spread via the ductus ejaculatorius into the seminal vesicle. DNA sequencing of the tumour suppressor gene TP53 of different tumour lesions revealed identical wild-type sequences.
我们报告一例左输尿管多灶性原位尿路上皮癌,伴有早期间质浸润,同时膀胱、前列腺和精囊存在原位病变。对膀胱前列腺精囊切除术标本进行完整的局部绘图后发现,精囊原位尿路上皮癌的不寻常表现原来是肿瘤通过射精管扩散至精囊。对不同肿瘤病变的肿瘤抑制基因TP53进行DNA测序,结果显示为相同的野生型序列。