Iida K, Tanaka M, Matsumoto S, Takeuchi T, Yamaguchi K, Nishimura Y, Tominaga T
Department of Urology, Mitsui Memorial Hospital.
Hinyokika Kiyo. 1998 Oct;44(10):739-42.
We herein present two cases prostatic leiomyosarcoma. The first case was in a 45-year-old man who presented at our department with the chief complaints of pain on voiding and pollakisuria on November 13, 1996. Ultrasonography and computed tomographic (CT) scan revealed a prostatic tumor. A histological examination of biopsy specimens revealed leiomyosarcoma of the prostate. Total prostatectomy and partial cystectomy were performed. No adjuvant therapy was performed. He is still alive without disease 12 months after operation. The second case was in a 63-year-old man who was admitted to our hospital for treatment of a lung tumor and colon polyp on February 28, 1997. CT scans showed a large prostatic tumor and multiple tumors in the lung, liver and bilateral kidneys. He was referred to our department for evaluation of the prostatic tumor. A transrectal needle biopsy of the prostate for histological diagnosis revealed leiomyosarcoma. No treatment was performed and he died 3 months later. In addition, 57 cases of prostatic leiomyosarcoma collected from the Japanese literature are also reviewed.
我们在此报告两例前列腺平滑肌肉瘤。第一例为一名45岁男性，于1996年11月13日因排尿疼痛和尿频为主诉前来我科就诊。超声检查和计算机断层扫描（CT）显示前列腺有肿瘤。活检标本的组织学检查显示为前列腺平滑肌肉瘤。行前列腺全切术和部分膀胱切除术。未进行辅助治疗。术后12个月他仍存活且无疾病复发。第二例为一名63岁男性，于1997年2月28日因肺部肿瘤和结肠息肉入院治疗。CT扫描显示前列腺有一个大肿瘤，且肺部、肝脏和双侧肾脏有多个肿瘤。他被转至我科评估前列腺肿瘤。经直肠前列腺穿刺活检进行组织学诊断显示为平滑肌肉瘤。未进行治疗，3个月后他死亡。此外，我们还回顾了从日本文献中收集的57例前列腺平滑肌肉瘤病例。
