Komura T, Yoshida T, Morimoto S, Shinka T, Ohkawa T
Department of Urology, Wakayama Medical College.
Hinyokika Kiyo. 1987 Jul;33(7):1132-8.
Two cases of adenomatous polyps with prostatic type epithelium are reported. The first case was of a 62-year-old male suffering from asymptomatic hematuria. Cystoscopic findings showed an urethral tumor in the prostatic urethra. He was treated by transurethral resection of the prostate. The second case was of a 47-year-old male with complaints of hematuria and doubtful findings in urinary cytology. Cystoscopic findings showed that he had an urethral tumor in the prostatic urethra as well as bladder tumor. Both were resected transurethrally. Histological examination revealed that both urethral tumors were papillary adenoma of the prostatic urethra, corresponding to the adenomatous polyps with prostatic type epithelium in the classification of AFIP. The peroxidase-antiperoxidase complex method was performed using the anti-prostatic acid phosphatase antibody and anti-prostatic-specific antigen antibody, and positive reactions were obtained which confirmed that the tumors originated in the prostatic tissue. Benign urethral tumor in males is not common and description of adenomatous polyps with prostatic type epithelium is very rare. We could find only 11 cases in the Japanese literature.
报告了两例具有前列腺型上皮的腺瘤性息肉病例。第一例是一名62岁男性,患有无症状血尿。膀胱镜检查发现前列腺尿道有尿道肿瘤。他接受了经尿道前列腺切除术。第二例是一名47岁男性,主诉血尿且尿液细胞学检查结果可疑。膀胱镜检查发现他的前列腺尿道有尿道肿瘤以及膀胱肿瘤。两者均经尿道切除。组织学检查显示,两个尿道肿瘤均为前列腺尿道乳头状腺瘤,在武装部队病理研究所(AFIP)的分类中对应于具有前列腺型上皮的腺瘤性息肉。使用抗前列腺酸性磷酸酶抗体和抗前列腺特异性抗原抗体进行过氧化物酶-抗过氧化物酶复合物法,获得阳性反应,证实肿瘤起源于前列腺组织。男性良性尿道肿瘤并不常见,对具有前列腺型上皮的腺瘤性息肉的描述非常罕见。在日本文献中我们仅能找到11例。