Joual A, Rabii R, Aboutaeib R, el Moussaoui A, Benjelloun S
Service d'Urologie (Aile 5), Hôpital Averroes, Casablanca, Maroc.
Ann Urol (Paris). 1996;30(5):262-3.
The authors report an uncommon case of a 74-year old man with prostatic cancer revealed by pelvic mass. Ultrasound exam and CT-scan showed a bilateral laterorectal mass with high density. Presence of such a mass in an old patient is very suggestive of lymph nodes than retroperitoneal tumor. Serum prostate specific antigen (PSA) is rather helpful in such conditions. Biopsy of the mass allows confirmation of the prostatic cancer diagnosis. Bilateral Surgical pulpectomy is performed in combination with oral hormonal therapy. Follow-up after 6 months showed a good course or ultrasound exam and PSA level.
作者报告了一例罕见病例，一名74岁男性因盆腔肿块被诊断为前列腺癌。超声检查和CT扫描显示双侧直肠旁有高密度肿块。老年患者出现这种肿块很可能是淋巴结而非腹膜后肿瘤。血清前列腺特异性抗原（PSA）在这种情况下很有帮助。肿块活检可确诊前列腺癌。行双侧手术切除肿块并结合口服激素治疗。6个月后的随访显示超声检查和PSA水平情况良好。
