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[前列腺癌根治术后局部复发放疗后发生癌肉瘤。病例报告及文献复习]

[Appearance of carcinosarcoma after radiotherapy for local recurrence after radical prostatectomy. Case report and review of the literature].

作者信息

Dallinger B, Würnschimmel E

机构信息

Urologische Abteilung, Krankenhaus Ried im Innkreis, Schlossberg 1, A-4910, Ried im Innkreis, Austria.

出版信息

Urologe A. 2010 Jun;49(6):750-4. doi: 10.1007/s00120-009-2217-8.

DOI:10.1007/s00120-009-2217-8
PMID:20237907
Abstract

Carcinosarcoma of the prostate is an extremely rare tumor. In the case of rapid tumor progression, especially after radiation therapy to the pelvis or after hormone deprivation therapy because of prostate cancer, this tumor entity should be considered, and immediate histological confirmation is required. The only curative therapy is immediate radical surgical excision. We report about the first case of a carcinosarcoma after salvage radiation therapy for local recurrence of adenocarcinoma of the prostate years after radical prostatectomy.

摘要

前列腺癌肉瘤是一种极其罕见的肿瘤。在肿瘤快速进展的情况下,尤其是在盆腔放疗后或因前列腺癌进行激素剥夺治疗后,应考虑这种肿瘤实体,并需要立即进行组织学确诊。唯一的治愈性疗法是立即进行根治性手术切除。我们报告了首例在根治性前列腺切除术后数年,因前列腺腺癌局部复发接受挽救性放疗后发生癌肉瘤的病例。

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[Appearance of carcinosarcoma after radiotherapy for local recurrence after radical prostatectomy. Case report and review of the literature].[前列腺癌根治术后局部复发放疗后发生癌肉瘤。病例报告及文献复习]
Urologe A. 2010 Jun;49(6):750-4. doi: 10.1007/s00120-009-2217-8.
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本文引用的文献

1
Carcinosarcoma of the prostate replacing the entire lower genitourinary tract.
Urology. 2009 Sep;74(3):540-1. doi: 10.1016/j.urology.2009.04.057. Epub 2009 Jul 8.
2
[Radical salvage prostatectomy : Treatment of local recurrence of prostate cancer after radiotherapy].[根治性挽救性前列腺切除术:放疗后前列腺癌局部复发的治疗]
Urologe A. 2008 Nov;47(11):1441-6. doi: 10.1007/s00120-008-1726-1.
3
Rare and unusual histological variants of prostatic carcinoma: clinical significance.前列腺癌的罕见及不典型组织学变异型:临床意义
BJU Int. 2008 Nov;102(10):1369-74. doi: 10.1111/j.1464-410X.2008.08074.x. Epub 2008 Sep 12.
4
Sarcomatoid carcinoma after radiation treatment of prostatic adenocarcinoma.前列腺腺癌放疗后发生的肉瘤样癌。
Ann Diagn Pathol. 2008 Apr;12(2):142-5. doi: 10.1016/j.anndiagpath.2006.08.008. Epub 2007 Aug 17.
5
[Carcinosarcoma of the prostate: a case report].[前列腺癌肉瘤:一例报告]
Hinyokika Kiyo. 2007 Nov;53(11):817-9.
6
Bladder cancer after radiotherapy for prostate cancer: detailed analysis of pathological features and outcome after radical cystectomy.前列腺癌放疗后发生的膀胱癌:根治性膀胱切除术后病理特征及预后的详细分析
J Urol. 2008 Jan;179(1):91-5; discussion 95. doi: 10.1016/j.juro.2007.08.157. Epub 2007 Nov 12.
7
Robotic-assisted laparoscopic cystoprostatectomy for prostatic carcinosarcoma.机器人辅助腹腔镜下膀胱前列腺切除术治疗前列腺癌肉瘤
JSLS. 2007 Jan-Mar;11(1):109-12.
8
Adult genitourinary sarcoma: the 25-year Memorial Sloan-Kettering experience.成人泌尿生殖系统肉瘤:纪念斯隆-凯特琳癌症中心25年的经验
J Urol. 2006 Nov;176(5):2033-8; discussion 2038-9. doi: 10.1016/j.juro.2006.07.021.
9
Salvage radical prostatectomy: quality of life outcomes and long-term oncological control of radiorecurrent prostate cancer.挽救性根治性前列腺切除术:放射性复发前列腺癌的生活质量结局和长期肿瘤学控制
J Urol. 2006 Nov;176(5):2025-31; discussion 2031-2. doi: 10.1016/j.juro.2006.07.075.
10
Sarcomatoid carcinoma of the prostate: a study of 42 cases.前列腺肉瘤样癌:42例病例研究
Am J Surg Pathol. 2006 Oct;30(10):1316-21. doi: 10.1097/01.pas.0000209838.92842.bf.