Ryan Paul, Kelly Caroline, Shanahan Sarah, Jordan Emmet, Keane John, Daly Padraig
Dept. of Urology, University Hospital Waterford, Dunmore Road, Waterford, X91 ER8E, Ireland.
Department of Medical Oncology, University Hospital Waterford, Dunmore Road, Waterford, X91 ER8E, Ireland.
Urol Case Rep. 2022 Feb 5;42:102025. doi: 10.1016/j.eucr.2022.102025. eCollection 2022 May.
A 72 year old was referred to the Urology department with lower urinary tract symptoms (LUTS), an abnormal prostate on digital examination and a serum prostate specific antigen (PSA) level within normal limits. A flexible cystoscopy revealed no abnormality of the urethra and an obstructive prostate. Magnetic resonance imaging (MRI) revealed a 4.3× 4cm soft tissue mass on the posterior corpus spongiosum encasing the bulbar urethra with tumour abutting the prostate. Transperineal prostate biopsies confirmed adenoid cystic carcinoma. Cross-sectional imaging arranged for staging, revealed multiple pulmonary metastastis. The patient is currently being treated with tyrosine kinase inhibitor medication.
一名72岁男性因下尿路症状（LUTS）、直肠指检前列腺异常且血清前列腺特异性抗原（PSA）水平正常而被转诊至泌尿外科。软性膀胱镜检查显示尿道及梗阻性前列腺无异常。磁共振成像（MRI）显示阴茎海绵体后部有一个4.3×4cm的软组织肿块，包绕球部尿道，肿瘤紧邻前列腺。经会阴前列腺活检确诊为腺样囊性癌。为进行分期安排的横断面成像显示有多处肺转移。该患者目前正在接受酪氨酸激酶抑制剂药物治疗。
