目的探讨原发性精囊癌的临床特点。方法总结收治的原发性精囊癌1例,结合文献复习。结果行膀胱、精囊、前列腺切除直肠代膀胱术,已随访2年无复发。结论原发性精囊癌临床罕见,术前诊断较为困难,最好的治疗方法是早期手术,术中做冰冻切片检查,一经证实,则应行根治性切除术。术后定期随访,注意复发。 Objective To investigate the clinical features of primary seminal vesicle cancer. Methods One case of primary seminal vesicle carcinoma admitted to our hospital was reviewed. Results Bladder, seminal vesicle and prostate resection were performed on behalf of the bladder and had no follow-up for 2 years. Conclusions Primary seminal vesicle cancer is rare in clinic and preoperative diagnosis is difficult. The best treatment is early surgery and intraoperative frozen section examination. Once confirmed, radical resection should be performed. Regular follow-up after surgery, pay attention to recurrence.