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一名接受根治性前列腺和精囊切除术的HIV感染者患原发性精囊伯基特淋巴瘤:1例罕见的漏诊病例报告

Primary seminal vesicle Burkitt lymphoma in a patient living with HIV undergoing radical prostate and seminal vesicle resection: a rare missed case report.

作者信息

Wu Menghua, Zheng Xin, Wang Wei, Chang Jing, Xue Meng, Zhang Yu, Song Jian, Zhao Jimao

机构信息

Department of Urology, Beijing Youan Hospital, Capital Medical University, Beijing, China.

Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

出版信息

Infect Agent Cancer. 2023 May 24;18(1):32. doi: 10.1186/s13027-023-00509-8.

Abstract

Primary seminal vesicle Burkitt lymphoma (PSBL) is rare that is not frequently reported. Burkitt lymphoma is often associated with extranodal organs. The diagnosis of carcinoma in seminal vesical can be difficult. In this report, we present a missed case of PSBL in a male patient who underwent radical prostate and seminal vesicle resection. We retrospectively analyzed the clinical data to explore the diagnosis, pathological features, treatment, and prognosis of this rare disease. The patient visited our hospital for dysuria, and the serum prostate-specific antigen (PSA) was moderately elevated. Pelvic magnetic resonance imaging (MRI) and computed tomography (CT) scans suggested a notable enlargement of the seminal vesicle. The patient then underwent radical surgery and the pathology diagnosis revealed Burkitt lymphoma. The diagnosis of PSBL is difficult, and the prognosis is generally poorer than that of other types of lymphoma. However, earlier diagnosis and treatment may help to improve the survival rate among patients with Burkitt lymphoma.

摘要

原发性精囊伯基特淋巴瘤(PSBL)罕见,报道不多。伯基特淋巴瘤常与结外器官相关。精囊癌的诊断可能具有挑战性。在本报告中,我们呈现了1例接受前列腺和精囊根治性切除术的男性患者漏诊PSBL的病例。我们回顾性分析临床资料,以探讨这种罕见疾病的诊断、病理特征、治疗及预后。该患者因排尿困难就诊我院,血清前列腺特异性抗原(PSA)中度升高。盆腔磁共振成像(MRI)和计算机断层扫描(CT)显示精囊显著增大。随后患者接受了根治性手术,病理诊断为伯基特淋巴瘤。PSBL的诊断困难,其预后通常比其他类型淋巴瘤差。然而,早期诊断和治疗可能有助于提高伯基特淋巴瘤患者的生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cdb/10210358/27a17d52f7a5/13027_2023_509_Fig7_HTML.jpg

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