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机器人辅助腹腔镜下切除罕见的原发性精囊平滑肌瘤。

Robotic-assisted laparoscopic excision of a rare primary seminal vesicle leiomyoma.

作者信息

Carey Kyle, Pique Karina, Shihadeh Sammy A, Khan Anwar A, Cranfield Cian, Esfahani Farzad, Parra Brett

机构信息

Florida State University College of Medicine, 1115 W Call St, Tallahassee, FL, 32304, USA.

Arkansas College of Osteopathic Medicine - Shreveport Campus, 7000 Chad Colley Blvd, Fort Smith, AR, 72916, USA.

出版信息

Urol Case Rep. 2024 Aug 12;57:102822. doi: 10.1016/j.eucr.2024.102822. eCollection 2024 Nov.

DOI:10.1016/j.eucr.2024.102822
PMID:39346120
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11437865/
Abstract

A primary seminal vesicle leiomyoma (PSVL) is a rare male genitourinary tract tumor. No previous reports have utilized a robotic-assisted laparoscopic posterior approach (RALPA) for surgical management. A 76-year-old man was incidentally found to have a 5cm lobulated mass posterior to the bladder in an abdominal/pelvic computed tomography scan. Biopsy confirmed leiomyoma. RALPA was utilized to excise the mass without complications. PSVLs are benign tumors with obstructive and minimal metastatic potential. Robotic-assisted surgery provides high fidelity, low risk, and an accelerated postoperative course compared to open surgery. The RALPA should be considered when surgical excision of PSVLs is required.

摘要

原发性精囊平滑肌瘤（PSVL）是一种罕见的男性泌尿生殖道肿瘤。此前尚无利用机器人辅助腹腔镜后路手术（RALPA）进行手术治疗的报道。一名76岁男性在腹部/盆腔计算机断层扫描中偶然发现膀胱后方有一个5厘米分叶状肿块。活检证实为平滑肌瘤。采用RALPA切除肿块，未出现并发症。PSVL是具有阻塞性且转移潜能极小的良性肿瘤。与开放手术相比，机器人辅助手术具有高保真度、低风险和术后恢复快的特点。当需要手术切除PSVL时，应考虑采用RALPA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db66/11437865/219aca529c74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db66/11437865/2ad6b33870b0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db66/11437865/83b4099d0415/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db66/11437865/219aca529c74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db66/11437865/2ad6b33870b0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db66/11437865/83b4099d0415/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db66/11437865/219aca529c74/gr3.jpg

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本文引用的文献

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Semin Nucl Med. 2021 Nov;51(6):593-610. doi: 10.1053/j.semnuclmed.2021.06.006. Epub 2021 Jul 10.
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How to differentiate uterine leiomyosarcoma from leiomyoma with imaging.如何通过影像学来区分子宫平滑肌肉瘤和子宫肌瘤。
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Metastatic primary seminal vesicle adenocarcinoma: management of a rare tumour with multiagent chemotherapy and hormonal therapy.
转移性原发性精囊腺癌：多药化疗和激素治疗对罕见肿瘤的管理
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Seminal Vesicle Leiomyoma Mimicking Extra-prostatic Extension of Prostatic Adenocarcinoma.酷似前列腺腺癌前列腺外侵犯的精囊平滑肌瘤
Urol Case Rep. 2016 Feb 23;6:18-20. doi: 10.1016/j.eucr.2016.01.005. eCollection 2016 May.
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Leiomyoma of the seminal vesicle: a rare case.精囊平滑肌瘤：1例罕见病例。
Clin Pract. 2013 Nov 22;3(2):e32. doi: 10.4081/cp.2013.e32. eCollection 2013 Aug 2.
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Pelvic periprostatic symplastic leiomyoma: an unusual case necessitating a radical surgery.
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Indian J Urol. 2011 Jan;27(1):137-9. doi: 10.4103/0970-1591.78417.
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Laparoscopic resection of a leiomyoma of the seminal vesicle.腹腔镜下精囊平滑肌瘤切除术。
Indian J Urol. 2007 Jan;23(1):70-1. doi: 10.4103/0970-1591.30272.
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Leiomyoma of the seminal vesicle.
Jpn J Radiol. 2009 Jun;27(5):218-20. doi: 10.1007/s11604-009-0321-8. Epub 2009 Jun 25.