Csata S, Orosz Z, Iványi A, Répássy D
Urológiai Osztály, Fövárosi Szent István Kórház Budapest.
Orv Hetil. 1998 Feb 15;139(7):371-3.
The histopathological findings from the third prostate operation of a 63-year-old patient proved that his leiomysarcoma was malignant. Leiomyosarcoma is a disease of low incidence. Of 1000 cases of a carcinoma of prostate one proves to be this disease. Its clinical distinction from benign prostate disease meets difficulties. A survey of literature has shown that even multiple aggressive therapy fails when the process has overpassed the limits of the organ. Early diagnosis followed be radical pre- and postoperative X-irradiation may lead to long-term survival. Neither cytostatic nor hormonal therapy is successful. The course of the illness of our patients merits interest because of the rarity of the disease and the diagnostic difficulties.
一名63岁患者第三次前列腺手术的组织病理学检查结果证实其平滑肌肉瘤为恶性。平滑肌肉瘤是一种发病率较低的疾病。在1000例前列腺癌病例中，仅有1例为此病。它与良性前列腺疾病在临床上难以区分。文献调查表明，当病情超出器官范围时，即使采用多种积极治疗也会失败。早期诊断并在术前和术后进行根治性放疗可能会带来长期生存。细胞抑制疗法和激素疗法均未成功。鉴于该疾病的罕见性和诊断困难，我们患者的病程值得关注。
