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一名患有局部晚期原发性尿道恶性肿瘤的男性患者，耻骨上膀胱造瘘管处发生鳞状细胞癌。

Squamous cell carcinoma of suprapubic cystostomy tract in a male with locally advanced primary urethral malignancy.

作者信息

Boaz Ranil Johann, John Nirmal Thampi, Kekre Nitin

机构信息

Department of Urology, Christian Medical College, Vellore, Tamil Nadu, India.

出版信息

Indian J Urol. 2015 Jan-Mar;31(1):70-2. doi: 10.4103/0970-1591.145295.

DOI:10.4103/0970-1591.145295
PMID:25624581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4300577/
Abstract

A 65-year-old man with stricture urethra underwent drainage of periurethral abscess and suprapubic cystostomy (SPC) placement. He presented to us 3 months later with a fungating ulcer at the site of perineal incision, the biopsy of which revealed squamous cell carcinoma (SCC). He underwent a total penile amputation, wide local excision scrotum, radical urethrocystoprostatectomy, ileal conduit with the en-bloc excision of the SPC tract. Histopathological examination of the suprapubic tract also revealed SCC. This is the first documented case of SCC of a suprapubic tract in the presence of primary urethral SCC.

摘要

一名65岁男性因尿道狭窄接受了尿道周围脓肿引流及耻骨上膀胱造瘘术（SPC）。3个月后，他因会阴切口处出现溃疡性肿物前来就诊，活检显示为鳞状细胞癌（SCC）。他接受了阴茎全切术、阴囊广泛局部切除术、根治性尿道膀胱前列腺切除术、回肠代膀胱术，并整块切除了SPC通道。耻骨上通道的组织病理学检查也显示为SCC。这是首例原发性尿道SCC合并耻骨上通道SCC的病例报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1885/4300577/2792c6e70b05/IJU-31-70-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1885/4300577/bc2622e7a31b/IJU-31-70-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1885/4300577/2792c6e70b05/IJU-31-70-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1885/4300577/bc2622e7a31b/IJU-31-70-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1885/4300577/2792c6e70b05/IJU-31-70-g002.jpg

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本文引用的文献

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EAU guidelines on primary urethral carcinoma.EAU 指南：原发性尿道癌
Eur Urol. 2013 Nov;64(5):823-30. doi: 10.1016/j.eururo.2013.03.044. Epub 2013 Apr 2.
2
A case of squamous cell carcinoma arising from a suprapubic cystostomy tract.一例起源于耻骨上膀胱造瘘道的鳞状细胞癌。
BMC Urol. 2011 Oct 3;11:20. doi: 10.1186/1471-2490-11-20.
3
Male urethral carcinoma: analysis of treatment outcome.男性尿道癌：治疗结果分析
Urology. 1999 Jun;53(6):1126-32. doi: 10.1016/s0090-4295(98)00659-1.