Smaoui S, Lecomte M J, Peraldi R, Pernin F
Service d'Urologie, Centre Hospitalier d'Ajaccio, France.
Prog Urol. 1998 Sep;8(4):569-72.
The authors report an original case of acute myeloid leukaemia (AML) presenting in the form of acute urinary retention, confirmed by prostatic biopsy, with complete absence of any non-urological clinical features. Prostatic sites of leukaemia are frequent and classically reported, but often occur during the course of known leukaemia, and are rarely symptomatic, justifying biopsies in the presence of any prostatic symptoms. Immunolabelling represents the key to the diagnosis in the presence of undifferentiated cells demonstrated on prostatic biopsies. The outcome was fatal in this case, despite early chemotherapy. The clinical features, clinical course and therapeutic aspects of prostatic leukaemia are discussed.
作者报告了一例以急性尿潴留形式出现的急性髓系白血病（AML）原始病例，经前列腺活检确诊，完全没有任何非泌尿系统临床特征。白血病的前列腺部位很常见且有经典报道，但通常发生在已知白血病病程中，很少有症状，因此在出现任何前列腺症状时进行活检是合理的。在前列腺活检显示未分化细胞的情况下，免疫标记是诊断的关键。尽管早期进行了化疗，该病例的结局仍为死亡。本文讨论了前列腺白血病的临床特征、临床病程及治疗方面。
