Chung Hyun Chul, Lee Hyo Serk, Kim Tae Im, Kim Dae Il, Park Kwang Hwa, Song Jae Mann
Department of Urology, Yonsei University Wonju Collage of Medicine, Wonju, Korea.
Yonsei Med J. 2009 Feb 28;50(1):174-6. doi: 10.3349/ymj.2009.50.1.174. Epub 2009 Feb 24.
We report a 65 year-old man with a large cystic phyllodes tumor of the prostate. The patient complained of abdominal discomfort and had a soft palpable mass. Computer tomography showed a solid and cystic mass in the pelvic fossa; the mass was adjacent only to the prostate. We excised the mass. Microscopic findings of the mass showed hyperplastic epithelium lined cysts with leaf-like intraluminal epithelia lined stromal projections, less than 2 mitotic counts/10 HPF, low-to-moderated cellularity, and mild-to-moderate cytoplasm atypia. The pathological findings were consistent with a phyllodes tumor of the prostate, a low-grade tumor. Twenty-eight months after the operation, the patient was well with no recurrence or metastases.
我们报告一例65岁患有巨大前列腺叶状囊性肿瘤的男性患者。患者主诉腹部不适，可触及柔软肿块。计算机断层扫描显示盆腔内有一实性和囊性肿块；该肿块仅与前列腺相邻。我们切除了肿块。肿块的显微镜检查结果显示，囊肿内衬增生上皮，腔内有叶状上皮衬里的间质突起，每10个高倍视野有丝分裂计数少于2个，细胞密度低至中等，细胞质有轻度至中度异型性。病理结果与前列腺叶状肿瘤（一种低级别肿瘤）相符。术后28个月，患者情况良好，无复发或转移。
