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病例报告:复发性尿道息肉,导管前列腺腺癌的非典型表现。

Case report: Recurrent urethral polyps, an atypical presentation of ductal prostate adenocarcinoma.

作者信息

Holmes Angela, Tissot Sophie, Kearns Paul

机构信息

Department of Urological Surgery, Barwon Health, University Hospital Geelong, Geelong, Victoria, 3220, Australia.

出版信息

Urol Case Rep. 2022 May 1;43:102103. doi: 10.1016/j.eucr.2022.102103. eCollection 2022 Jul.

DOI:10.1016/j.eucr.2022.102103
PMID:35540559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9079252/
Abstract

Prostate ductal adenocarcinoma is a rare subtype of prostate adenocarcinoma which can show aggressive features and have poor response to conventional treatment. Early diagnosis aids in shared patient decision making. We report an atypical presentation of this rare condition where a recurrent urethral polyp which showed pagetoid spread was diagnosed as ductal adenocarcinoma of the prostate, with emphasis on review of prior available histology.

摘要

前列腺导管腺癌是前列腺腺癌的一种罕见亚型,可表现出侵袭性特征,对传统治疗反应不佳。早期诊断有助于患者共同做出决策。我们报告了这种罕见疾病的一种非典型表现,其中一个显示派杰样扩散的复发性尿道息肉被诊断为前列腺导管腺癌,并着重回顾了先前可用的组织学检查结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce35/9079252/926cde684245/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce35/9079252/fbc9d0d31ea2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce35/9079252/926cde684245/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce35/9079252/fbc9d0d31ea2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce35/9079252/926cde684245/gr2.jpg

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1
Case report: Recurrent urethral polyps, an atypical presentation of ductal prostate adenocarcinoma.病例报告:复发性尿道息肉,导管前列腺腺癌的非典型表现。
Urol Case Rep. 2022 May 1;43:102103. doi: 10.1016/j.eucr.2022.102103. eCollection 2022 Jul.
2
Prostatic ductal adenocarcinoma presenting as a urethral polyp: a clinicopathological study of eight cases of a lesion with the potential to be misdiagnosed as a benign prostatic urethral polyp.表现为尿道息肉的前列腺导管腺癌:8例具有被误诊为良性前列腺尿道息肉可能的病变的临床病理研究
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Am J Surg Pathol. 2015 Jan;39(1):67-74. doi: 10.1097/PAS.0000000000000289.

本文引用的文献

1
Optimizing the diagnosis and management of ductal prostate cancer.优化导管前列腺癌的诊断和管理。
Nat Rev Urol. 2021 Jun;18(6):337-358. doi: 10.1038/s41585-021-00447-3. Epub 2021 Apr 6.
2
Contemporary Comparison of Clinicopathologic Characteristics and Survival Outcomes of Prostate Ductal Carcinoma and Acinar Adenocarcinoma: A Population-Based Study.基于人群的研究:前列腺导管腺癌和腺泡腺癌的临床病理特征和生存结局的当代比较。
Clin Genitourin Cancer. 2019 Jun;17(3):231-237.e2. doi: 10.1016/j.clgc.2019.04.009. Epub 2019 Apr 16.
3
Case report of prostate ductal adenocarcinoma presenting with hematuria.
以血尿为表现的前列腺导管腺癌病例报告。
Urol Case Rep. 2018 May 12;19:63-64. doi: 10.1016/j.eucr.2018.05.013. eCollection 2018 Jul.
4
Incidence and outcomes of ductal carcinoma of the prostate in the USA: analysis of data from the Surveillance, Epidemiology, and End Results program.美国前列腺导管癌的发病率和结局:监测、流行病学和最终结果计划的数据分析。
BJU Int. 2012 Mar;109(6):831-4. doi: 10.1111/j.1464-410X.2011.10520.x. Epub 2011 Aug 24.