Makiyama K, Fukuoka H, Ikeda I, Suwa Y, Sekiguchi Y, Kawakami S, Sakanishi S
Department of Urology, Yokohama Minami Kyousai Hospital.
Hinyokika Kiyo. 1997 Feb;43(2):153-6.
A 69-year-old man was referred to our department with gross hematuria. Magnetic resonance imaging revealed the tumor directly invading the rectum. Biopsy of the tumor by transurethral resection demonstrated endometrioid adenocarcinoma of the prostate. Serum prostate specific antigen (PSA) level was normal. Because the tumor did not respond to hormonal therapy for a month, radical prostatectomy combined with rectal amputation was performed. Immunohistochemically, carcinoembryonic antigen was detected but PSA and prostatic acid phosphatase were not.
一名69岁男性因肉眼血尿转诊至我科。磁共振成像显示肿瘤直接侵犯直肠。经尿道切除肿瘤活检显示为前列腺子宫内膜样腺癌。血清前列腺特异性抗原(PSA)水平正常。由于肿瘤对激素治疗1个月无反应,遂行根治性前列腺切除术联合直肠切除术。免疫组化检测发现癌胚抗原,但未检测到PSA和前列腺酸性磷酸酶。