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前列腺平滑肌肉瘤转移至肋骨手术治疗的长期随访:1例报告及文献复习

Long term follow-up of surgery management of prostate leiomyosarcoma metastasized to the rib: A case report and literature review.

作者信息

Chen Wei, Han Deng-Jun, Fu Guang-Qing, Lin Wei, Liang Yong

机构信息

Department of Urology, Zigong No. 4 People's Hospital, Zigong, Sichuan 643000, P.R. China.

出版信息

Mol Clin Oncol. 2016 Jul;5(1):132-134. doi: 10.3892/mco.2016.898. Epub 2016 May 11.

DOI:10.3892/mco.2016.898
PMID:27330784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4906952/
Abstract

Prostate sarcoma, particularly the pathological type of leiomyosarcoma, is a rare carcinoma, which originated from the interstitial tissue of the prostate. This sarcoma type has a poor prognosis. This disease accounts for ~0.1% of all prostate cancer and it usually occurrs in patients aged between 40 and 78-years-old. Although prostate leiomyosarcoma has a poor prognosis, early treatment of post-operative recurrence and metastases via a whole-body examination and closer follow-up was possible. These measurements may significantly prolong the survival time and improve the quality of life. The present study reported a successful case of surgical management for prostate leiomyosarcoma in the Zigong No. 4 People's Hospital (Sichuan, China) during 1995 until 2015, with post-operative follow-up for 20 years.

摘要

前列腺肉瘤,尤其是平滑肌肉瘤这种病理类型,是一种罕见的癌症,起源于前列腺的间质组织。这种肉瘤类型预后较差。该疾病约占所有前列腺癌的0.1%,通常发生在40至78岁的患者中。尽管前列腺平滑肌肉瘤预后不良,但通过全身检查和密切随访对术后复发和转移进行早期治疗是可行的。这些措施可能会显著延长生存时间并提高生活质量。本研究报告了1995年至2015年期间自贡市第四人民医院(中国四川)成功手术治疗前列腺平滑肌肉瘤的一例病例,并进行了20年的术后随访。

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本文引用的文献

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Sarcomatoid Carcinoma of the Prostate: Retrospective Review of a Case Series From the Johns Hopkins Hospital.前列腺肉瘤样癌:约翰霍普金斯医院病例系列的回顾性研究
Urology. 2015 Sep;86(3):539-43. doi: 10.1016/j.urology.2015.06.011. Epub 2015 Jun 28.
2
Mesenchymal tumours of the bladder and prostate: an update.膀胱和前列腺间叶性肿瘤:最新进展。
Pathology. 2013 Feb;45(2):104-15. doi: 10.1097/PAT.0b013e32835c768b.
3
Prostatic sarcoma after conservative treatment with brachytherapy for low-risk prostate cancer.低危前列腺癌近距离治疗保守治疗后的前列腺肉瘤
Acta Oncol. 2013 Aug;52(6):1215-6. doi: 10.3109/0284186X.2012.734927. Epub 2012 Oct 24.
4
Primary leiomyosarcoma of the prostate with lung metastasis: report of a case diagnosed by fine-needle aspiration cytology.前列腺原发性平滑肌肉瘤伴肺转移:一例经细针穿刺细胞学诊断的病例报告
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[A case of leiomyosarcoma of prostate: multimodality therapy suppressed disease progression for long term].
Hinyokika Kiyo. 2010 Sep;56(9):527-30.
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Sarcoma of the prostate: a single institutional review.前列腺肉瘤:一项单机构回顾研究。
Am J Clin Oncol. 2009 Feb;32(1):27-9. doi: 10.1097/COC.0b013e31817b6061.
7
Leiomyosarcoma of the prostate: case report and review of 54 previously published cases.前列腺平滑肌肉瘤:病例报告及对54例既往发表病例的回顾
Sarcoma. 2008;2008:458709. doi: 10.1155/2008/458709. Epub 2008 Nov 18.
8
Recurrent episodes of hematuria: a rare presentation of leiomyosarcoma of prostate.复发性血尿:前列腺平滑肌肉瘤的一种罕见表现。
J Cancer Res Ther. 2006 Oct-Dec;2(4):212-4. doi: 10.4103/0973-1482.29837.
9
Spindle cell lesions of the adult prostate.成人前列腺的梭形细胞病变
Mod Pathol. 2007 Jan;20(1):148-58. doi: 10.1038/modpathol.3800676.
10
Phase I/II study of docetaxel, ifosfamide, and doxorubicin in advanced, recurrent, or metastatic soft tissue sarcoma (STS).多西他赛、异环磷酰胺和阿霉素用于晚期、复发性或转移性软组织肉瘤(STS)的I/II期研究。
Invest New Drugs. 2006 Nov;24(6):509-14. doi: 10.1007/s10637-006-9035-2.