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促黄体生成素释放激素(LHRH)激动剂和放疗治疗后前列腺腺癌向鳞状细胞癌的转化。

Transformation of a prostatic adenocarcinoma into squamous cell carcinoma after luteinizing hormone-releasing hormone (LHRH) agonist and radiotherapy treatment.

机构信息

Université de Tunis El Manar, Faculté de Médecine de Tunis, 1007, Tunis, Tunisie.

The Military Hospital of Tunis, Department of Urology, Montfleury 1008, Tunis, Tunisia.

出版信息

Pan Afr Med J. 2019 Nov 1;34:125. doi: 10.11604/pamj.2019.34.125.19421. eCollection 2019.

Abstract

Squamous cell carcinoma of the prostate is rare and represents 0.5% to 1% of prostatic carcinomas. Transformation of prostatic adenocarcinoma into squamous cell carcinoma after LH-RH agonist intake has been reported in only 8 cases in the literature. To our knowledge, our case is the second pure squamous cell carcinoma observed after hormonotherapy and radiotherapy. We reported a case of a patient with prostatic adenocarcinoma treated by radical prostatectomy followed by radiotherapy. Eleven years later, he had a vesical recurrence of prostatic adenocarcinoma. Our patient had an endoscopic resection followed by injections of Triptorelin. Six months later, he developed a local recurrence of a squamous cell carcinoma.

摘要

前列腺鳞状细胞癌较为罕见,占前列腺癌的 0.5%至 1%。文献中仅报道了 8 例 LH-RH 激动剂摄入后前列腺腺癌转化为鳞状细胞癌的病例。据我们所知,我们的病例是继激素治疗和放疗后观察到的第二个纯鳞状细胞癌。我们报告了 1 例前列腺腺癌患者,行根治性前列腺切除术,继而行放疗。11 年后,他出现前列腺腺癌的膀胱复发。患者行内镜下切除术,继而行 Triptorelin 注射。6 个月后,他出现局部鳞状细胞癌复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a0b/7906544/401188a3a45b/PAMJ-34-125-g001.jpg

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