1例经机器人辅助根治性前列腺切除术治疗的前列腺黏液性囊腺癌病例。
A case of cystic mucinous adenocarcinoma of the prostate treated by robot-assisted radical prostatectomy.
作者信息
Seito Toyoshi, Ishikawa Akira, Tsuru Ibuki, Hikatsu Masahiro, Bae Yuan, Homma Yukio
机构信息
Department of Urology, Japanese Red Cross Medical Center, Tokyo, Japan.
Department of Pathology, Japanese Red Cross Medical Center, Tokyo, Japan.
出版信息
Urol Case Rep. 2021 Dec 16;41:101982. doi: 10.1016/j.eucr.2021.101982. eCollection 2022 Mar.
A 66-year-old male visited with constipation. Intra-pelvic cystic mass (332 cm) was found, and PSA was 32.4 ng/ml. Biopsy of the prostate was performed. It wasn't adequate specimen for diagnosis, but the PSA of the fluid was 4791.0 ng/ml. RARP was performed. To make surgical field more visible, fine needle was stuck from the patient's perineum into the cyst intraoperatively. The patient was discharged with nothing complications. It was mucinous adenocarcinoma of the prostate, pT3b, RM1. The patient is now receiving ADT but no recurrence and metastasis are seen to date.
一名66岁男性因便秘前来就诊。发现盆腔内有囊性肿块（332厘米），前列腺特异性抗原（PSA）为32.4纳克/毫升。进行了前列腺活检。活检标本不足以用于诊断，但囊液的PSA为4791.0纳克/毫升。进行了机器人辅助根治性前列腺切除术（RARP）。为了使手术视野更清晰，术中从患者会阴部插入细针至囊肿内。患者出院时无并发症。病理结果为前列腺黏液腺癌，pT3b，RM1。患者目前正在接受雄激素剥夺治疗（ADT），但迄今为止未见复发和转移。
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