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全科医疗中的前列腺囊肿:一例病例报告及文献综述

Prostatic cyst in general practice: A case report and literature review.

作者信息

Qiu Yan, Liu Ying, Ren Wen, Ren Jingjing

机构信息

Department of General Practice, the First Affiliated Hospital, Zhejiang University, Hangzhou, Zhejiang, China.

出版信息

Medicine (Baltimore). 2018 Mar;97(9):e9985. doi: 10.1097/MD.0000000000009985.

DOI:10.1097/MD.0000000000009985
PMID:29489699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5851757/
Abstract

RATIONALE

Prostatic cyst is a rare disease of the prostate especially in general practice. As it is often asymptomatic, how to manage it is still unfamiliar with, general practitioners (GPs).

PATIENT CONCERNS

The 24-year-old man presented with left back discomfort for 1 week without severe pain, dysuria, or fever.

DIAGNOSES

Ultrasonography revealed the presence of a 14×14 mm cystic lesion.

INTERVENTIONS

The patient was given the medicine and regular follow-up.

OUTCOMES

Several days later, he recovered without lower back discomfort.

LESSONS

Patients with prostatic cyst of small size and no symptom should be follow-up regularly. Although prostatic cyst of progressive symptoms, large size (2.5 cm or larger), or high serum prostate-specific antigen (PSA) should be timely referred to urological specialists.

摘要

理论依据

前列腺囊肿是一种罕见的前列腺疾病,在全科医疗中尤其如此。由于它通常无症状,全科医生(GPs)对如何处理它仍不熟悉。

患者关注

一名24岁男性出现左背部不适1周,无剧痛、排尿困难或发热。

诊断

超声检查发现一个14×14毫米的囊性病变。

干预措施

给患者用药并定期随访。

结果

几天后,他康复,无下背部不适。

经验教训

小尺寸且无症状的前列腺囊肿患者应定期随访。尽管有进行性症状、大尺寸(2.5厘米或更大)或高血清前列腺特异性抗原(PSA)的前列腺囊肿应及时转诊至泌尿外科专家处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ede/5851757/41351cb18b21/medi-97-e9985-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ede/5851757/41351cb18b21/medi-97-e9985-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ede/5851757/41351cb18b21/medi-97-e9985-g001.jpg

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Urol Case Rep. 2016 Jul 20;8:40-3. doi: 10.1016/j.eucr.2016.06.001. eCollection 2016 Sep.
2
A large, benign prostatic cyst presented with an extremely high serum prostate-specific antigen level.一名患有巨大良性前列腺囊肿的患者出现了极高的血清前列腺特异性抗原水平。
BMJ Case Rep. 2016 Jan 8;2016:bcr2015213381. doi: 10.1136/bcr-2015-213381.
3
A novel surgical management for male infertility secondary to midline prostatic cyst.一种治疗中线前列腺囊肿继发男性不育症的新型手术管理方法。
前列腺原发性副神经节瘤:一种罕见实体的文献系统综述
Rev Recent Clin Trials. 2024;19(3):189-195. doi: 10.2174/0115748871293735240209052044.
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Prostatic urethral cyst: a rare cause of acute urinary retention in a young male.前列腺尿道囊肿:年轻男性急性尿潴留的罕见原因。
BMJ Case Rep. 2021 Mar 22;14(3):e241385. doi: 10.1136/bcr-2020-241385.
BMC Urol. 2015 Mar 14;15:18. doi: 10.1186/s12894-015-0015-8.
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Midline prostatic cyst in a young man with lower urinary tract symptoms.一名患有下尿路症状的年轻男性的中线前列腺囊肿。
BMJ Case Rep. 2014 Dec 22;2014:bcr2014207816. doi: 10.1136/bcr-2014-207816.
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