论文部分内容阅读
前列腺囊性病变多为良性。实体肿瘤内存在囊肿表示病变通过局部缺血坏死随后液化的变性过程。虽然其它器官的癌瘤发生囊性坏死相当常见,而前列腺囊性癌却很少见。作者报道1例。男、80岁,以睾丸附睾炎引起左侧阴囊剧痛就诊。右侧阴囊及内容物正常。直肠指检前列腺右叶正常,左叶柔软如泥。尿液培养有大肠杆菌(>10~5ml)。血清前列腺特异性抗原浓度高达272mg/ml。TRUS检查显未前列腺呈不对称增大(65.3cm~3),左叶内有一大的无回声灶,该囊肿1.1cm×1.5cm×1.8cm且轮廓不规则。
Prostate cystic lesions are mostly benign. The presence of cysts in solid tumors indicates a degenerative process in which the lesions are subsequently liquefied by ischemic necrosis. Although cystic necrosis is common in cancers of other organs, prostate cystic carcinoma is rare. The author reported 1 case. Male, 80 years old, treated with testicular epididymitis causing severe pain in the left scrotum. Right scrotum and contents are normal. The digital rectal examination is normal in the right lobe of the prostate, and the left lobe is soft and muddy. E. coli cultured in urine (>10~5ml). The serum prostate specific antigen concentration is as high as 272 mg/ml. TRUS examination showed no asymmetrical enlargement of the prostate (65.3 cm~3), and there was a large non-echoic lesion in the left lobe. The cyst was 1.1 cm x 1.5 cm x 1.8 cm with an irregular outline.