目的为了提高对前列腺肉瘤的诊治水平。方法总结前列腺肉瘤患者 1 2例的临床资料 ,年龄 1 3～ 5 0岁 ,平均 2 9岁 ;均为原发性肉瘤。其中 6例施行全盆腔脏器切除术 ,3例施行经膀胱前列腺切除术。 1例予放疗、化疗、另 2例未治接继治疗。结果前列腺肉瘤占同期前列腺恶性肿瘤的 3.85 % ,前列腺肉瘤发病年龄轻 ,以排尿困难为主要症状 ;施行全盆腔脏器切除术者术后生存期 1 5～ 2 5 (平均2 2 )个月 ,较经膀胱前列腺切除术及放疗、化疗者长。结论结合文献对本病的病因、病理、诊断及治疗进行讨论。认为对前列腺肉瘤进行早期诊断并施行全盆腔脏器切除术治疗效果较好 Objective To improve the diagnosis and treatment of prostate sarcoma. Methods The clinical data of 12 patients with prostate sarcoma were summarized, ranging in age from 13 to 50 years (mean, 29 years). All of them were primary sarcomas. Among them, 6 cases underwent total pelvic excision and 3 underwent transurethral resection of the prostate. One patient was given radiotherapy and chemotherapy, and the other two patients were untreated. Results Prostate sarcoma accounted for 3.85% of prostate cancer in the same period, prostate sarcoma age of onset of light to dysuria as the main symptom; the implementation of pelvic organ resection were postoperative survival of 15 ~ 25 (average 22) months, Than by bladder resection and radiotherapy and chemotherapy were longer. Conclusion The etiology, pathology, diagnosis and treatment of this disease are discussed in combination with the literature. That the early diagnosis of prostate sarcoma and the implementation of all pelvic excision is better