Wu Yu-Fan, Li Xiang, Ma Jun, Ma Dan-Yu, Zeng Xue-Ming, Yu Qi-Wei, Chen Wei-Guo
Department of Urology, Kunshan Hospital of Traditional Chinese Medicine, Kunshan 215300, Jiangsu Province, China.
Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China.
World J Clin Cases. 2023 Jun 26;11(18):4406-4411. doi: 10.12998/wjcc.v11.i18.4406.
Primary prostate Burkitt's lymphoma is a rare and aggressive condition with a poor prognosis. Its clinical presentation can be challenging to differentiate from benign prostatic hyperplasia. Given the rarity of primary prostate Burkitt's lymphoma, its diagnosis and treatment remain unclear.
This report presents a case of a 57-year-old male with primary prostate Burkitt's lymphoma, initially misdiagnosed as prostatic hyperplasia. This case's operative process, intraoperative findings and postoperative management are discussed in detail.
Primary prostate lymphoma is difficult to distinguish from other prostate diseases. Holmium laser enucleation of the prostate (HoLEP), a minimally invasive procedure, is crucial in diagnosing and treating this rare disease. Clinicians should remain vigilant and thoroughly combine physical examination, imaging and test results when encountering patients of younger age with small prostate size but a rapid progression of lower urinary tract symptoms. HoLEP is an essential diagnostic and therapeutic tool in managing primary prostate Burkitt's lymphoma.
原发性前列腺伯基特淋巴瘤是一种罕见且侵袭性强、预后差的疾病。其临床表现难以与良性前列腺增生相鉴别。鉴于原发性前列腺伯基特淋巴瘤的罕见性，其诊断和治疗仍不明确。
本报告介绍了一例57岁男性原发性前列腺伯基特淋巴瘤患者，最初被误诊为前列腺增生。详细讨论了该病例的手术过程、术中发现及术后管理。
原发性前列腺淋巴瘤难以与其他前列腺疾病相区分。钬激光前列腺剜除术（HoLEP）作为一种微创手术，在诊断和治疗这种罕见疾病方面至关重要。临床医生在遇到年龄较轻、前列腺体积较小但下尿路症状进展迅速的患者时应保持警惕，并将体格检查、影像学检查和检测结果充分结合。HoLEP是管理原发性前列腺伯基特淋巴瘤的重要诊断和治疗工具。
