Department of Urology, Tokyo Medical University, Tokyo, Japan.
Int J Urol. 2009 Dec;16(12):967-70. doi: 10.1111/j.1442-2042.2009.02403.x.
Abstract A 54-year-old gentleman was suspected of having sarcoma of the prostate because of his low serum prostate-specific antigen level (1.9 ng/mL) and an enlarged heterogeneous mass on computed tomography and magnetic resonance imaging scans. Pathological examination of the prostate needle biopsy indicated seminoma, which was confirmed with immunohistochemical staining. There was no evidence of disease in other areas on physical examination or on radiographic tests. Therefore, we diagnosed the case as a primary seminoma of the prostate, which was consequently treated with a total of three courses of bleomycin, etoposide and cisplatin chemotherapy. Complete response was obtained on computed tomography, magnetic resonance imaging and prostate needle re-biopsy. To our knowledge, there have only been five cases of primary seminoma of the prostate reported.
摘要 一位 54 岁的男性，由于其血清前列腺特异性抗原水平（1.9ng/ml）较低，且计算机断层扫描和磁共振成像扫描显示前列腺不均匀增大，因此被怀疑患有前列腺肉瘤。前列腺针吸活检的病理检查提示为精原细胞瘤，免疫组织化学染色进一步证实了这一诊断。体检和影像学检查均未发现其他部位有疾病的证据。因此，我们诊断该病例为原发性前列腺精原细胞瘤，并给予博来霉素、依托泊苷和顺铂化疗共 3 个疗程。计算机断层扫描、磁共振成像和前列腺针吸再活检均显示完全缓解。据我们所知，仅有 5 例原发性前列腺精原细胞瘤的报道。
