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目的探讨膀胱后异位前列腺的临床特征和治疗。方法回顾性分析1例膀胱后巨大实性异位前列腺的临床资料,并对既往文献进行复习。结果患者体检发现正常前列腺上方有一实性肿物,盆腔CT、盆腔MRI提示肿物直径约7cm,与膀胱后壁相邻。PSA为20ng/ml。术前行B超引导下经直肠肿物穿刺活检,病理结果为前列腺增生组织。手术切除肿物及前列腺。组织学和免疫组化检查结果证实肿物为前列腺组织。患者术后恢复顺利,PSA降为0。结论膀胱后异位前列腺极为罕见,手术切除是可靠的治疗方法。
Objective To investigate the clinical characteristics and treatment of ectopic prostate after bladder cancer. Methods A retrospective analysis of 1 case of large posterior bladder solid ectopic prostate clinical data, and review of previous literature. Results The patient found that there was a solid tumor above the normal prostate. Pelvic CT and pelvic MRI showed that the tumor was about 7 cm in diameter and was adjacent to the posterior wall of the bladder. PSA is 20 ng / ml. Preoperative B-guided transrectal tumor biopsy, the pathological findings of benign prostatic hyperplasia. Surgical removal of the tumor and prostate. Histological and immunohistochemical findings confirmed that the tumor was prostate tissue. The patient recovered smoothly and the PSA dropped to zero. Conclusion Ectopic prostate after bladder is extremely rare, surgical resection is a reliable treatment.