de Gennes C, Ziza J M, Verny C, Le Thi Huong D u, Bitker O, Delcourt A, Raphael M, Chatelain C, Godeau P
Service de Médecine Interne, Groupe Hospitalier Pitié-Salpêtrière, Paris.
Ann Urol (Paris). 1990;24(7):545-7.
The authors report a case of non-hodgkin's lymphoma initially presenting with pallakiuria due to a prostatic localization of the tumour. The diagnosis was confirmed 6 months later following deterioration in the general condition with lymphomatous meningitis, after repeat examination of the prostatic slides. Less than twenty cases of prostatic lesions revealing lymphoma have been reported in the literature. There are no formal diagnostic arguments apart from the histology which is often difficult to interpret. In most cases the lymphomas are disseminated and composed of large cells or cleaved small cells with a poor prognosis and a mean survival of 14 months. Treatment primarily consists of chemotherapy, as the lymphoma is always disseminated. The role of local radiotherapy is questionable.
作者报告了一例非霍奇金淋巴瘤病例，该病例最初因肿瘤前列腺定位而出现乳糜尿。6个月后，患者全身状况恶化并出现淋巴瘤性脑膜炎，再次检查前列腺切片后确诊。文献中报道的前列腺病变提示淋巴瘤的病例少于20例。除了通常难以解释的组织学外，没有正式的诊断依据。在大多数情况下，淋巴瘤已播散，由大细胞或核分裂的小细胞组成，预后较差，平均生存期为14个月。由于淋巴瘤总是已播散，治疗主要包括化疗。局部放疗的作用存在疑问。
