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成人前列腺横纹肌肉瘤:一例报告

Prostatic rhabdomyosarcoma in the adult, A case report.

作者信息

Malik Sajad Ahmad, Bhat Arif Hamid, Lone Sajad Sultan

机构信息

Department of Urology, Sher e Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India.

出版信息

Urol Case Rep. 2022 Feb 5;42:102027. doi: 10.1016/j.eucr.2022.102027. eCollection 2022 May.

Abstract

Prostate embryonal rhabdomyosarcoma (ERMS) is a common tumour in infants and children, but it is rare in adults. It is characterized by a high degree of malignancy, both local rapid growth with formation of large pelvic masses, often leading to renal failure due to bladder outlet obstruction, and systemic spread, commonly to the lungs, liver and bone. We report on a case of a stage III prostate ERMS, approached with combined-modality treatment, with the administration of 5 courses of doxorubicin, ifosfamide and 2-mercaptoethane sulfonate sodium (mesna), with planned subsequent radiotherapy to the prostatic bed (60 Gy/30 fractions).

摘要

前列腺胚胎性横纹肌肉瘤(ERMS)在婴幼儿中是一种常见肿瘤,但在成人中罕见。其特点是恶性程度高,局部生长迅速,形成巨大盆腔肿块,常因膀胱出口梗阻导致肾衰竭,且可发生全身转移,常见转移至肺、肝和骨。我们报告一例III期前列腺ERMS病例,采用综合治疗,给予5个疗程的多柔比星、异环磷酰胺和2-巯基乙烷磺酸钠(美司钠),随后计划对前列腺床进行放疗(60 Gy/30次分割)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8a/9073219/dbffef127acb/gr1.jpg

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