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前列腺原发性肉瘤:6例病例系列报道

Primary sarcoma of the prostate: A case series of 6 patients.

作者信息

Yang Ping, Wang Li, He Yang

机构信息

Department of Oncology, Shanghai Eighth People's Hospital, Shanghai, China.

Department of Urology, Liyang People's Hospital, Liyang, Jiangsu, China.

出版信息

Medicine (Baltimore). 2025 May 9;104(19):e42388. doi: 10.1097/MD.0000000000042388.

DOI:10.1097/MD.0000000000042388
PMID:40355201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12074103/
Abstract

RATIONALE

Primary prostate sarcomas are highly malignant tumors characterized by their low incidence and poor prognosis. Due to this rarity, we present a limited number of case series.

PATIENT CONCERNS

In this report, we detail the clinical diagnosis, treatment, and prognosis of the last 6 primary prostatic sarcoma cases.

DIAGNOSES

The 6 patients, all adults aged between 21 and 51 years, were diagnosed pathologically through needle biopsy or surgical specimens.

INTERVENTIONS

All patients underwent chemotherapy.

OUTCOMES

At the time of the last follow-up, only 1 patient continued treatment, while the other 5 had succumbed to disease progression. The overall survival time ranged from 3 to 46 months.

LESSONS

Primary prostatic sarcoma presents with an insidious onset and rapid progression, lacking standard treatment options and associated with a very poor prognosis. Early detection and timely surgical intervention may improve the cure rate and extend survival time for affected patients.

摘要

理论依据

原发性前列腺肉瘤是高度恶性肿瘤,其特点是发病率低且预后差。由于这种罕见性,我们展示了数量有限的病例系列。

患者情况

在本报告中,我们详细介绍了最近6例原发性前列腺肉瘤病例的临床诊断、治疗和预后。

诊断

这6例患者均为年龄在21至51岁之间的成年人,通过穿刺活检或手术标本进行病理诊断。

干预措施

所有患者均接受了化疗。

结果

在最后一次随访时,只有1例患者继续接受治疗,而其他5例患者因疾病进展死亡。总生存时间为3至46个月。

经验教训

原发性前列腺肉瘤起病隐匿且进展迅速,缺乏标准治疗方案,预后极差。早期发现并及时进行手术干预可能提高治愈率并延长患者的生存时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6170/12074103/b48c9c4cbc42/medi-104-e42388-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6170/12074103/592bea9e9447/medi-104-e42388-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6170/12074103/d0b981526051/medi-104-e42388-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6170/12074103/b48c9c4cbc42/medi-104-e42388-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6170/12074103/592bea9e9447/medi-104-e42388-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6170/12074103/d0b981526051/medi-104-e42388-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6170/12074103/b48c9c4cbc42/medi-104-e42388-g003.jpg

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本文引用的文献

1
Adult Prostate Sarcoma: Demographics, Treatment Patterns, and Survival.成人前列腺肉瘤:人口统计学、治疗模式和生存情况。
Ann Surg Oncol. 2024 Dec;31(13):8993-9001. doi: 10.1245/s10434-024-16258-w. Epub 2024 Sep 23.
2
Perianal rhabdomyosarcoma in an adult: A case report and review of the literature.成人肛门部横纹肌肉瘤 1 例报告并文献复习
Medicine (Baltimore). 2023 Dec 1;102(48):e36276. doi: 10.1097/MD.0000000000036276.
3
Primary prostate synovial sarcoma: A case report and review of literature.原发性前列腺滑膜肉瘤:一例报告并文献复习
Int J Surg Case Rep. 2022 Jul;96:107265. doi: 10.1016/j.ijscr.2022.107265. Epub 2022 May 31.
4
Primary Prostatic Synovial Sarcoma With Pulmonary Metastases Identified by Routine Next-Generation Sequencing.通过常规二代测序鉴定的伴有肺转移的原发性前列腺滑膜肉瘤
JCO Precis Oncol. 2021 Nov;5:1133-1140. doi: 10.1200/PO.21.00051.
5
Undifferentiated pleomorphic sarcoma of the prostate in a young man.一名年轻男性的前列腺未分化多形性肉瘤
IJU Case Rep. 2020 Jun 17;3(4):145-148. doi: 10.1002/iju5.12174. eCollection 2020 Jul.
6
Adult primary prostate sarcoma: A multi-center cohort study and comparison between Chinese and American cases.成人原发性前列腺肉瘤:一项多中心队列研究及中美病例比较。
Asian J Surg. 2021 Jan;44(1):247-253. doi: 10.1016/j.asjsur.2020.06.004. Epub 2020 Jul 4.
7
A case of prostate stromal sarcoma involving the rectum.一例累及直肠的前列腺间质肉瘤。
J Surg Case Rep. 2020 Jun 17;2020(6):rjaa165. doi: 10.1093/jscr/rjaa165. eCollection 2020 Jun.
8
Prostatic stromal sarcoma in an adolescent: the role of chemotherapy.青少年前列腺基质肉瘤:化疗的作用
Rare Tumors. 2014 Dec 18;6(4):5607. doi: 10.4081/rt.2014.5607. eCollection 2014 Oct 27.
9
Primary synovial sarcoma of the prostate metastatic to the liver and lung: a case report.原发性前列腺滑膜肉瘤转移至肝脏和肺:一例报告
World J Surg Oncol. 2014 Jun 27;12:194. doi: 10.1186/1477-7819-12-194.
10
Stromal prostatic sarcoma: a rare tumor with rare clinical and imaging presentation.前列腺间质肉瘤:一种具有罕见临床和影像学表现的罕见肿瘤。
J Radiol Case Rep. 2013 Jul 1;7(7):24-31. doi: 10.3941/jrcr.v7i7.1177. eCollection 2013 Jul.