Lanesky J, Opipari M I, McKenzie M
Urology. 1979 Jun;13(6):667-71. doi: 10.1016/0090-4295(79)90393-5.
Although increasing reports are noted of apparent endometrial carcinoma of prostatic origin, the controversy is present of the actual existence of such an entity. The association of papillary prostatic cancer (endometrial or ductal) with the typical microacinar variety has also been previously presented. This report is an account of 2 cases of multiple prostatic primary tumors. The first case is the twelfth reported case of endometrial (utricular) carcinoma not only simultaneously associated with microacinar type carcinoma, but also with a previous transitional carcinoma of the urinary bladder. The second case is a papillary carcinoma and associated microacinar type with the papillary component responding dramatically to chemotherapy. Significant aspects of interest in this case include the site of papillary metastasis to the lungs, elevated estrogen levels with normalization after treatment, and finally response to chemotherapy.
尽管越来越多的报告指出存在明显起源于前列腺的子宫内膜癌,但关于这种实体是否实际存在仍存在争议。乳头状前列腺癌(子宫内膜样或导管样)与典型微腺泡型前列腺癌的关联此前也有报道。本报告描述了2例前列腺原发性多肿瘤病例。第一例是第12例报告的子宫内膜(尿道)癌,不仅同时伴有微腺泡型癌,还伴有先前的膀胱移行细胞癌。第二例是乳头状癌并伴有微腺泡型,其中乳头状成分对化疗反应显著。该病例中值得关注的重要方面包括肺转移的乳头状癌灶部位、治疗后雌激素水平升高并恢复正常,以及最终对化疗的反应。