Hanai S, Okishio N
Hinyokika Kiyo. 1986 Nov;32(11):1725-30.
A case of malignant peritoneal mesothelioma of prostate in a 52-year-old male is reported. He was admitted to the hospital with the complaint of perineal pain. The prostate was enlarged markedly, elastic soft and severely tender. CT scan and some examinations suggested the possibility of prostatic malignancy. The histological findings of the needle biopsy specimen revealed peritoneal mesothelioma. Complete pelvic exenteration was performed, because of direct invasions to the urinary bladder and the rectal anterior wall. The final pathological diagnosis revealed malignant fibrous peritoneal mesothelioma with solitary type of the rectovesical recess. At three months after the operation, the patient died of local resurrence and multiple metastasis to liver and lung. Only three cases of peritoneal mesothelioma, with solitary type, of rectovesical recess or retrovesical space have so far been reported in Japan.
报告了一例52岁男性前列腺恶性腹膜间皮瘤病例。他因会阴部疼痛入院。前列腺明显增大，质地弹性柔软且压痛严重。CT扫描和一些检查提示前列腺恶性肿瘤的可能性。针吸活检标本的组织学检查结果显示为腹膜间皮瘤。由于肿瘤直接侵犯膀胱和直肠前壁，故行全盆腔脏器切除术。最终病理诊断为恶性纤维性腹膜间皮瘤，呈直肠膀胱陷凹孤立型。术后三个月，患者因局部复发及肝肺多发转移死亡。在日本，迄今为止仅报道过三例直肠膀胱陷凹或膀胱后间隙孤立型的腹膜间皮瘤病例。
