Kuroda H, Yasunaga Y, Takatera H, Fujioka H, Tsujimoto M
Department of Urology, Osaka Police Hospital.
Hinyokika Kiyo. 1994 Feb;40(2):147-9.
A case of leiomyosarcoma of the prostate accompanied by multiple hepatocellular carcinoma in a 51-year-old man is presented. He visited our hospital with the complaints of feeling of residual urine and pain of the coccygeal bone in November, 1990. A histopathological study of the transrectal needle biopsy specimens revealed leiomyosarcoma of the prostate. Since multiple liver tumors were pointed out, the patient was given combined chemotherapy (CYVADIC: cyclophosphamide, vincristine, adriamycin and DTIC). He died 1 year and 2 months after the initial diagnosis due to hepatic failure. The autopsy findings revealed that the histology of the liver tumors was hepatocellular carcinoma, and that the leiomyosarcoma of the prostate had directly invaded the wall of the urinary bladder and the rectum, but there was no obvious distant metastasis.
本文报告一例51岁男性前列腺平滑肌肉瘤伴多发肝细胞癌的病例。1990年11月，他因残余尿感和尾骨疼痛前来我院就诊。经直肠针吸活检标本的组织病理学研究显示为前列腺平滑肌肉瘤。由于发现了多发肝肿瘤，该患者接受了联合化疗（CYVADIC方案：环磷酰胺、长春新碱、阿霉素和氮烯咪胺）。初诊后1年零2个月，患者因肝衰竭死亡。尸检结果显示，肝肿瘤的组织学类型为肝细胞癌，前列腺平滑肌肉瘤已直接侵犯膀胱壁和直肠壁，但无明显远处转移。
