原发性前列腺移行细胞癌诊治分析  

Diagnosis and treatment of primary transitional cell carcinoma of prostate

作　　者：李朋[1] 周小庆[1] 蓝伟峰[1] 叶和松[1] 尚徐敏[1] 

机构地区：[1]浙江省丽水市人民医院泌尿外科,丽水323000

出　　处：《中国男科学杂志》2008年第1期39-41,共3页Chinese Journal of Andrology

摘　　要：目的探讨原发性前列腺移行细胞癌的诊断与治疗方法。方法回顾性分析5例原发性前列腺移行细胞癌的临床资料。结果行TURP+放疗的患者术后12个月死亡。行膀胱造瘘术的患者及合并腺癌行TURP+双侧睾丸切除加内分泌治疗的患者分别于术后8个月、15个月死亡。1例行前列腺癌根治术者至今存活已30月,另1例行TURP+吡柔比星经尿道膀胱灌注化疗存活至今17月。结论本病早期诊断困难,确诊有赖于经直肠B超引导下前列腺穿刺活检或通过术后标本的病理检查,早期行前列腺癌根治术是较为有效的治疗方法,本病预后欠佳。Objective To present our experience on diagnosis and treatment of primary transitional cell carcinoma （PTCC）. Methods Five cases of primary transitional cell carcinoma were reviewed and analyzed. Results One case was performed TURP and ＋radiation therapy, died 12 months later. One case performed suprapubic cystostomy and surgical castration. One case performed TURP ＋ surgical castration died 8 and 15 months after operation respectively. One case performed radical prostatectomy and 1 case performed TURP＋chemotherapy through intravesical administration have survived 30 and 17 months respectively till today. Conclusion Early diagnosis is difficult. The diagnosis of the disease depends on the transrectal needle biopsy of the prostate or the specimens of the prostate after the operation.Radical prostatectomy has better efficacy. The prognosis is bad.

关 键 词：前列腺肿瘤 癌 移行细胞 

分 类 号：R737.25[医药卫生—肿瘤]