Kapp Brian, Abarzua-Cabezas Fernando, Cusano Antonio, Meraney Anoop
Hartford Healthcare Medical Group, Hartford, Connecticut, USA.
Can J Urol. 2014 Feb;21(1):7157-9.
Prostate leiomyomas are benign mesenchymal smooth muscle tumors devoid of glandular elements within the prostate or juxta-prostatic position. Leiomyomas develop in organs containing smooth muscle, including the kidney, bladder and seminal vesicle. Prostate leiomyomas are either a pure form or associated with benign prostate hyperplasia, and diagnosis is challenging, with definitive identification relying on pathology. However, imaging techniques, such as MRI, have proven to be useful diagnostic tools. We report on a 57-year-old male with lower urinary tract symptomatology who was diagnosed with a large prostate leiomyoma and underwent an open radical cystoprostatectomy and ileal conduit urinary diversion.
前列腺平滑肌瘤是一种良性间叶平滑肌肿瘤，在前列腺或前列腺旁位置不存在腺性成分。平滑肌瘤发生于含有平滑肌的器官，包括肾脏、膀胱和精囊。前列腺平滑肌瘤可以是单纯形式，也可与良性前列腺增生相关，其诊断具有挑战性，明确诊断依赖于病理学检查。然而，诸如MRI等影像学技术已被证明是有用的诊断工具。我们报告一例57岁有下尿路症状的男性患者，其被诊断为巨大前列腺平滑肌瘤，并接受了开放性根治性膀胱前列腺切除术及回肠代膀胱术。
