前列腺血管瘤伴逆行射精——一例报告
Hemangioma of the prostate with retrograde ejaculation - a case report.
作者信息
Wan Zi, Yang Bi-Cheng, Cao Hai-Ming, Wei Jin-Huan, Guo Yan, Deng Chun-Hua
机构信息
Department of Andrology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Department of Reproductive Medicine, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, Guangdong, China.
出版信息
Int J Surg Case Rep. 2022 May;94:107102. doi: 10.1016/j.ijscr.2022.107102. Epub 2022 Apr 19.
INTRODUCTION AND IMPORTANCE
Hemangioma of the prostate is rarely reported. We here describe a hemangioma of the prostate in a 31-year-old man.
CASE PRESENTATION
The history, imaging characteristics, treatment and one year follow-up results were well documented. The chief complaint was retrograde ejaculation. A 3.1 cm × 2.9 cm mass in the prostate was detected by ultrasound. Transurethral resection of the prostate (TURP) was performed.
CLINICAL DISCUSSION
Pathological examination revealed the mass was hemangioma. Immunohistochemical study found the tissue was SMA, CD34, CD31 positive, but D2-40 negative. Imaging feature combined with pathological result suggests the diagnosis of hemangioma of the prostate. One year follow-up revealed the patient was infertile.
CONCLUSION
We suggest TURP should be performed to remove the hemangioma. Combined treatment is necessary to resolve the patient's infertility.
引言与重要性
前列腺血管瘤鲜有报道。我们在此描述一名31岁男性的前列腺血管瘤病例。
病例介绍
病史、影像学特征、治疗及一年随访结果均有详细记录。主要症状为逆行射精。超声检查发现前列腺有一个3.1厘米×2.9厘米的肿块。行经尿道前列腺切除术（TURP）。
临床讨论
病理检查显示肿块为血管瘤。免疫组织化学研究发现该组织SMA、CD34、CD31呈阳性，但D2-40呈阴性。影像学特征结合病理结果提示前列腺血管瘤的诊断。一年随访显示患者不育。
结论
我们建议行经尿道前列腺切除术以切除血管瘤。需要综合治疗来解决患者的不育问题。
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