摘要
目的:探讨成人非腺癌前列腺恶性肿瘤的临床特征。方法:报告经治的13例成人非腺癌前列腺恶性肿瘤患者的临床资料。经直肠指检、B超及CT检查诊断,经病理检查确诊。结果:10例15个月内因肿瘤全身转移死亡,3例经以根治术式为主的综合治疗后存活超过13个月。结论:直肠指检、B超及CT检查对成人非腺癌前列腺恶性肿瘤的诊断有重要意义,确诊须依靠组织病理学检查;目前的有效治疗方法是以根治术式为主的综合治疗。其预后差。
Objective：To investigate the diagnosis and treatment of non-adenocarcinoma prostate malignancy in adult males. Methods：The clinical manifestation, laboratory examination, pathology, treatment and prognosis of 13 cases of adolescent prostate malignant tumor were analyzed. Results： The pathologic findings indicated 2 cases of squamous cancer; 5 cases of leiomyosarcoma; 2 cases of fibrosarcoma; 2 cases of periphery primitive neuroectodermal sarcoma; 1 cases of lobus intermedius sarcoma and 1 case of stromal sarcoma. Three cases have survived more than 13 months after radical cystoprostatorectomyand urinary diversion adjuncted with combined therapy. Ten cases failed to follow adjunctive therapy and died of systemic tumor metastasis;Conclusions： The prognosis of non-adenocareinoma prostate malignancy is poor; the clinical manifestation, ultrasonography , rectal examination and computed tomograpby is valuable for the diagnosis of adolescent non-adenocarcinoma prostate malignancy; the rexture of prostate gland during rectal examination can not be considered as a most important indication of prostate carcinoma; final diagnosis depends on pathological examination; multipoint prostate biopsy should be carried out actively for patients with prostatic abscess. Up to now, combined therapy of primarly radical surgery is effective for non-adenocarcinoma prostate malignancy.
出处
《临床泌尿外科杂志》
2006年第9期673-674,677,共3页
Journal of Clinical Urology
关键词
前列腺肿瘤
综合治疗
预后
Prostatic neoplasms
Combinedtherapy
Prognosis
