Baron J C, Zerbib M, Levêque J M, Deslignières S, Boccon-Gibod L, Debré B, Steg A
Service d'Urologie, Hôpital Bichat, Paris.
Ann Urol (Paris). 1989;23(2):119-22.
Among one hundred consecutive patients submitted to radical cysto-prostatectomy for invasive transitional cell carcinoma of the bladder, 26 also exhibited adenocarcinoma of the prostate on histological specimens: 17 microscopic foci and 9 larger prostate carcinomas. In 3 cases, the tumor was found in the apex of the prostate gland. Pelvic lymphadenectomy was positive in 4 cases but always corresponded to a urothelial metastasis. Follow-up was never marked by a metastatic development of this adenocarcinoma. This frequency of latent prostatic adenocarcinoma is not different from its observed incidence in the general population on autopsy studies. The high incidence of this association makes removal of the whole prostatic tissue during total cystectomy necessary.
在连续100例因浸润性膀胱移行细胞癌接受根治性膀胱前列腺切除术的患者中，26例在组织学标本上也显示前列腺腺癌：17个微小病灶和9个较大的前列腺癌。3例肿瘤位于前列腺尖部。盆腔淋巴结清扫术在4例中呈阳性，但均为尿路上皮转移。随访中从未出现过这种腺癌的转移进展。这种潜伏性前列腺腺癌的发生率与尸检研究中在普通人群中观察到的发生率没有差异。这种关联的高发生率使得在全膀胱切除术中切除整个前列腺组织成为必要。
