Milburn Preston A, Cable Christian T, Trevathan Sean, El Tayeb Marawan M
Division of Urology (Milburn, El Tayeb), Department of Oncology (Cable), and Department of Pathology (Trevathan), Baylor Scott and White Medical Center, Temple, Texas.
Proc (Bayl Univ Med Cent). 2017 Jul;30(3):338-339. doi: 10.1080/08998280.2017.11929640.
Mantle cell lymphoma of the prostate is rare and is seldom encountered in general urologic practice. It either arises primarily from the prostate or is a result of metastatic spread from another site. This specific type of lymphoma has an aggressive course and may respond poorly to traditional chemotherapy with frequent relapses. Mantle cell lymphoma occurs in middle age or older, which is also when symptoms of benign prostatic enlargement begin in men. This overlap makes the diagnosis of lymphoma of the prostate difficult and makes the treatment more complex. We describe a case of mantle cell lymphoma of the prostate that caused significant enlargement and bladder outlet obstruction with urinary retention. The obstruction was treated with holmium laser enucleation of the prostate with good functional results.
前列腺套细胞淋巴瘤罕见，在普通泌尿外科实践中很少遇到。它要么主要起源于前列腺，要么是其他部位转移扩散的结果。这种特定类型的淋巴瘤病程侵袭性强，对传统化疗反应可能不佳，且频繁复发。套细胞淋巴瘤发生于中年或老年男性，而这也是男性良性前列腺增生症状开始出现的年龄段。这种重叠使得前列腺淋巴瘤的诊断困难，治疗也更复杂。我们描述了一例前列腺套细胞淋巴瘤病例，该病例导致前列腺显著增大并造成膀胱出口梗阻及尿潴留。通过钬激光前列腺剜除术治疗梗阻，取得了良好的功能效果。
