Matsumoto Teppei, Koie Takuya, Soma Osamu, Kusaka Ayumu, Hosogoe Shogo, Hamano Itsuto, Imai Atsushi, Hatakeyama Shingo, Yoneyama Takahiro, Hashimoto Yasuhiro, Ohyama Chikara
The Department of Urology, Hirosaki University Graduate School of Medicine.
Hinyokika Kiyo. 2016 Jun;62(6):329-33.
A 44-year-old male patient visited our hospital with a chief complaint of macroscopic hematuria. Prostate biopsies were performed due to prostate specific antigen (PSA) 11.6 ng/ml, and he was diagnosed with Gleason score 5＋4 prostate cancer. Computed tomography showed a left hypoplastic kidney. T2- weighted magnetic resonance imaging showed the left ureter stump with ectopic insertion into the dilated left seminal vesicle. He was diagnosed with high-risk prostate cancer and left ectopic ureter inserting into the seminal vesicle with ipsilateral hypoplastic kidney. Laparoscopic left nephroureterectomy and open radical prostatectomy were performed.
一名44岁男性患者因肉眼血尿为主诉前来我院就诊。因前列腺特异性抗原（PSA）为11.6 ng/ml而行前列腺活检，诊断为Gleason评分5＋4的前列腺癌。计算机断层扫描显示左肾发育不全。T2加权磁共振成像显示左输尿管残端异位插入扩张的左精囊。他被诊断为高危前列腺癌，左输尿管异位插入精囊并伴有同侧肾发育不全。遂行腹腔镜下左肾输尿管切除术及开放性根治性前列腺切除术。
