前立腺乳頭状嚢胞腺癌の1例  [in Japanese] A CASE OF PAPILLARY CYSTADENOCARCINOMA OF THE PROSTATE  [in Japanese]

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Abstract

患者は86歳の男性で, 尿閉を主訴として当科に入院となった. 両側鼠径部は腫脹し, 前立腺は小鶏卵大に触知, CTで骨盤腔内に巨大な嚢胞性腫瘤が認められた. 嚢胞穿刺液は血清様であった. 血清PSAは600ng/mlであった. 内分泌療法に反応せず, 患者は91日後死亡した. 剖検で, 骨盤骨と肺への転移を伴う前立腺乳頭状嚢胞腺癌と診断された. 機序としては嚢胞壁が癌化した, 非常に稀な症例であると考えられた. 前立腺乳頭状嚢胞腺癌について本邦で報告された7例について検討を加えた.

An 86-year-old was admitted to our hospital with the complaint of uritnary retension. Ultrasonography and CT scan revealed a large cystic intrapelvic mass which was palpated on the bilateral inguinal portion, when the needle aspiration was performed, we aspirated serous fluid which a consentration of prostate-specific antigen (PSA) was remarkably elavated to 6200ng/ml. Following hormonal therapy with diethylstilbestrol diphosphate, maximum androgen blockade with Flutaminde and LH-RH analog was performed. But no reduction in the size of the cyst was observed, he died from dyspnea caused by carcinomatosa 91 days later. Autopsy revealed a papillary cystadenocarcinoma of the prostate. Furthermore, we revealed that the cyst is primary and neoplastic changes supervened in this case. Seven cases of papillary cystadenocarcinoma of the prostate in the Japanese letarature are reviewed briefly.

Journal

  • The Japanese Journal of Urology

    The Japanese Journal of Urology 88(12), 1028-1031, 1997-12-20

    The Japanese Urological Association

References:  15

Cited by:  4

Codes

  • NII Article ID (NAID)
    110003088937
  • NII NACSIS-CAT ID (NCID)
    AN00196577
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00215287
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
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