前列腺意外癌的诊断与治疗  

Diagnosis and Treatment of Prostatic Carcinoma Accidentally Discovered(report of 19 cases)

作　　者：曹余光[1] 刘为[1] 张希哲[1] 郑超[1] 张钊华[1] 

机构地区：[1]辽宁省锦州医学院附属第三医院沁尿外科,121001

出　　处：《医学研究杂志》2007年第4期87-88,共2页Journal of Medical Research

摘　　要：目的探讨前列腺意外癌的发病率、诊断及治疗方法。方法总结1984年1月至2004年5月因前列腺增生症手术病理检出的前列腺癌19例的临床资料,病理诊断后6例行双侧睾丸切除术+雌激素治疗、7例单纯双侧睾丸切除术、6例未做任何治疗。结果A1期5例、A2期14例。12例获得随访,随访时间3个月～10年。其中1例术后未做任何治疗者,1年后发生耻骨及腰椎成骨性转移而死亡。结论前列腺意外癌大多属于A期,预后较好,双侧睾丸切除+雌激素治疗可提高生存率。Objective To explore the morbidity, the diagnosis and the method of therapy of accidental prostatic carcinoma. Methods From Jan of 1984 to May of 2004, 19 cases of prostatic accidental carcinoma were confirmed on pathological examination after prostatectomy for BPH. Bilateral orchiectomy and Estrogen treatment were performed in 6 cases and Bilateral orchiectomy in 7 cases alone but no treatment in 6 cases. Results 5 of the patients wereA1 stage and 14 A2 stage. 12 of them were followed up for 3 to 120 months. 14 of them survived and one untreated died of metastasis to pubis and vertebra after one year. Conclusions Most patients of prostatic accidental carcinoma are A1 and have a better prognosis. Bilateral orchiectomy and Estrogen treatment might improve the patients＇ s survival rate.

关 键 词：前列腺癌 意外发生 治疗 

分 类 号：R737.25[医药卫生—肿瘤]