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前列腺肉瘤较少见,早期诊断困难,病程进展快,预后极差。我院自1986年以来共收治3例,结合文献资料报告如下。临床资料本组3例,年龄分别为21岁、33岁、49岁。病史14d-6个月。3例均以进行性排尿困难为主要临床表现。并发急性尿潴留1例,1例合并肛周疼痛。直肠指检3例前列腺均Ⅲ度增大,质地软或中等硬度,弹性好,向直肠腔内突出,表面光滑,无压痛。镜下血尿2例,3例酸性磷酸酶和碱性磷酸酶均正常,PSA检查均正常。3例均行B超及CT检查,均提示前列腺实性占位。X线胸片示肺内多处转移瘤1例,侵犯直肠1例,侵犯膀胱1例。3例均经直肠前列腺肿瘤穿刺活检,病理诊断:平滑肌肉瘤2例,横纹肌肉瘤1例。
Prostate sarcoma rare, early diagnosis difficult, rapid progression, poor prognosis. Our hospital since 1986 treated a total of 3 cases, combined with the literature report as follows. Clinical data The group of 3 patients, the age was 21 years old, 33 years old, 49 years old. Medical history 14d-6 months. All 3 patients had progressive dysuria as the main clinical manifestations. Complication of acute urinary retention in 1 case, 1 case of perianal pain. 3 cases of digital rectal examination increased prostate Ⅲ, soft or medium hardness, good elasticity, protruding to the rectum cavity, the surface smooth, no tenderness. Microscopic hematuria in 2 cases, 3 cases of acid phosphatase and alkaline phosphatase were normal, PSA tests were normal. Three cases were performed B-ultrasound and CT examination, all prompted the prostate solid space. X-ray showed multiple metastases in the lungs in 1 case, 1 case of rectum violations, 1 case of bladder violations. 3 cases were transrectal prostate tumor biopsy, pathological diagnosis: 2 cases of leiomyosarcoma, rhabdomyosarcoma in 1 case.