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目的 :观察良性前列腺增生 (BPH)患者经尿道切除 (TURP)术后发现偶发性前列腺癌的远期疗效。方法 :2 4例行TURP ,病理标本证实 (IDPC)的 1周内行去势术 ,内分泌治疗。结果 :2 4例在 2 4～ 6 0个月后得到随访 ,经彩色多普勒超声 ,前列腺组织穿刺活检 ,PSA检测均无残存肿瘤 ,2例并发膀胱肿瘤再住院。结论 :良性前列腺增生偶发前列腺癌按照Jewett分期多为A1期 ,临床呈良性过程 ,经尿道切除、去势术、内分泌治疗是一种有效的措施 ,适用于不能耐受根治手术或预期寿命不长的患者。
Objective: To observe the long-term effect of splenectomy (TURP) in the diagnosis of sporadic prostate cancer in patients with benign prostatic hyperplasia (BPH). Methods: Twenty - four patients underwent TURP and pathological specimens confirmed (IDPC) within 1 week underwent castration and endocrine therapy. Results: Twenty - four cases were followed up from 24 months to 60 months. No residual tumor was detected by color Doppler ultrasound, prostatic biopsy and PSA test. Two patients were rechecked with bladder tumor. Conclusions: Prostate hyperplasia of benign prostatic hyperplasia in accordance with Jewett staging more A1 stage, the clinical course was benign, transurethral resection, castration, endocrine therapy is an effective measure for not tolerate radical surgery or life expectancy is not long Of patients.