Hennessey Alex M, Clement Jessica M, Forouhar Faripour, Taylor John A
School of Medicine, University of Connecticut Health Center, Farmington, CT, USA.
Division of Hematology Oncology, University of Connecticut Health Center, Farmington, CT, USA.
Case Rep Urol. 2016;2016:8050459. doi: 10.1155/2016/8050459. Epub 2016 Feb 8.
A 52-year-old gentleman presented with recurrent hematospermia. Further history revealed recent onset of constipation and difficulty voiding. Rectal examination revealed a firm, polypoid mass and colonoscopy showed suspicious, ulcerated lesions of the rectal mucosa with narrowing of the rectal vault. Pathology demonstrated transitional cell carcinoma of the rectum. While transitional cell carcinoma is a common genitourinary cancer, its presence in the anus and rectum is exceedingly rare. Furthermore, hematospermia is generally not associated with malignancy. This case is a remarkable example of two pathologic processes presenting in rare form and underscores the value of a thorough investigation of hematospermia when associated with other clinical symptoms.
一名52岁男性因反复出现血精症就诊。进一步询问病史发现近期出现便秘及排尿困难。直肠指检发现一个质地坚硬的息肉样肿物，结肠镜检查显示直肠黏膜有可疑的溃疡性病变，直肠穹窿变窄。病理检查证实为直肠移行细胞癌。虽然移行细胞癌是一种常见的泌尿生殖系统癌症，但在肛门和直肠中极为罕见。此外，血精症通常与恶性肿瘤无关。该病例是两个罕见病理过程同时出现的典型例子，强调了在血精症伴有其他临床症状时进行全面检查的重要性。
