前列腺文章汇总.docVIP

前列腺腺样型基底细胞癌一例报告并文献复习 刘文军1 裴立文1 宋志新1 鲁向新1 【摘要】 目的:提高对前列腺基底细胞癌诊断及治疗的认识。方法: 分析1例65岁健康男性患者前列腺基底细胞癌诊治经过，,结合文献复习, 探讨本病的组织发生及诊治特点。患者男，65岁，进行性排尿困难，伴间断肉眼血尿10年，前列腺Ⅱ度增生，中央沟消失，质硬，表面光滑，无触痛。PSA 0.88ng/ml；彩超示前列腺大小约4.96×3.55㎝，部分突入膀胱约2.17×1.56㎝；尿动力学检查，最大尿流率6ml/s,残尿量150ml，P/Q图示梗阻，前列腺尿道延长。入院后3天行经尿道前列腺电切术 (TURP)。结果:肿瘤病理送检为腺样型基底细胞癌，外院检查免疫组化 CK34βE-12(+), CK7(-), PSA（-）, P504S(-), P63(+),CK20(-)，Ki-67TURP术后一个月行前列腺根治术。随访24个月无复发及转移。结论:前列腺基底细胞癌往往以尿路梗阻症状，是。 Adenoid cystic/basal cell carcinoma of the prostate: clinicopathologic findings in 1 case. Wenjun Liu1 Liwen Pi1 Zhixin Song1 Xiangxin Lu1 (1 Department of Urology, The People’s Hospital of Qian An County, Tang Shan City, Hebei Provice, 064400, China) 【Abstract 】 Objective: To improve the recognition in the diagnosis and treatment of basaloma of the prostate gland. Methods: A case of basal cell carcinoma in a previously healthy 65-year-old man with urinary symptoms and low prostate-specific antigen was reported. Who suffered from progressive dysuria, intermittent gross hematuria for 10 years, who had Ⅱ°hyperplastic and hard prostate, without tenderness. The PSA was 0.88 ng/mL. Color Doppler ultrasound of prostate size about 4.96 x 3.55 cm. Part into the bladder of approximately 2.17 x 1.56 cm. Urodynamic examination, maximum urinary flow rate 6ml / s, residual urine volume 150ml. P / Q showed obstruction. The prostatic urethra extension. The patient underwent transurethral resection,prostate ( TURP ) after 3 days. Results: The pathological diagnosis was basal cell carcinoma of the prostate. Immunohistochemical results showed CK34βE-12(+), CK7(-), PSA(-), P504S(-), P63(+),CK20(-), Ki-67(-); Postoperatively, the patient recovered well without urinary incontinence or hematuria. The patient underwent radical resection of prostate after TURP. During a follow-up of 24 months, the tumor had no recurrence and metastasis. Conclusions: Basal cell carcinoma of prostate is a rare histological subtype of prostate cancer, with urinary sympt