Sugiura Shimpei, Tatenum Tomoyuki, Sakata Ryoko, Tajiri Tomohiro, Kitami Kazuo, Gondo Toshikazu, Kameda Yoichi
Department of Urology, Fujisawa City Hospital.
Department of Pathology, Fujisawa City Hospital.
Nihon Hinyokika Gakkai Zasshi. 2013 Nov;104(6):706-11. doi: 10.5980/jpnjurol.104.706.
We report the case of a malignant fibrous histiocytoma/undifferentiated pleomorphic sarcoma (MFH/UPS) of the penis in a 78-years-old-man who had undergone previous radical prostatectomy, external beam radiation therapy for prostatic adenocarcinoma. The mass was a 9-cm firm lesion at the base of the penis predominantly composed of malignant spindle cells arranged in sweeping fascicles and storiform pattern. The tumor cells stained for vimentin, beta-smooth muscle actin, S-100, and were negative for keratin, desmin, Melan A, PSA. Despite total penectomy, he developed a local reccurence 4 months after surgery, and died from dissemination 6 months after surgery. This is the 8th case of penile MFH/UPS.
我们报告了一例78岁男性阴茎恶性纤维组织细胞瘤/未分化多形性肉瘤(MFH/UPS)的病例,该患者此前接受过根治性前列腺切除术及针对前列腺腺癌的外照射放疗。肿物位于阴茎根部,为一个9厘米的实性病变,主要由呈束状排列和车辐状结构的恶性梭形细胞组成。肿瘤细胞波形蛋白、β平滑肌肌动蛋白、S-100染色阳性,角蛋白、结蛋白、Melan A、前列腺特异性抗原染色阴性。尽管进行了阴茎全切术,但他术后4个月出现局部复发,术后6个月因肿瘤播散死亡。这是第8例阴茎MFH/UPS病例。