原发性精囊癌的诊断和治疗  

Diagnosis and therapy of primary seminal vesicle carcinoma

作　　者：孙明[1] 潘春雨[1] 赵文嫣[2] 霍军[1] 王侠[1] 吴斌[1] 

机构地区：[1]中国医科大学附属盛京医院泌尿外科,辽宁沈阳110004 [2]中国医科大学附属盛京医院普通外科,辽宁沈阳110004

出　　处：《现代肿瘤医学》2016年第2期262-264,共3页Journal of Modern Oncology

摘　　要：目的:探讨原发性精囊癌的临床表现、影像学特点和诊疗方法。方法:分析我科收治的2例原发性精囊癌,并结合文献进行复习。结果:2例患者术前经CT检查可见盆腔巨大囊性肿物,未见正常精囊结构。1例术前于超声引导下经直肠精囊穿刺活检确诊为精囊癌;另1例术中冰冻病理检查诊断为精囊癌。2例均于术中行膀胱、精囊、前列腺切除术,术后病理均诊断为精囊腺癌。患者术后恢复良好,分别随访3年及6个月,未见复发和转移。结论:原发性精囊癌临床罕见,术前诊断困难,最好的治疗方法是早期手术,切除范围应足够广泛。术后应定期随访,注意复发。Objective： To investigate the clinical characteristics,imaging features,diagnosis and treatment of primary seminal vesicle carcinoma. Methods： Two cases of primary seminal vesicle carcinoma were reported and literatures were reviewed. Results： The CT scan of the 2 cases showed huge pelvic cystic neoplasm without the normal structure of seminal vesicle. One case was positive in seminal vesicle puncture biopsy guided by transrectal ultrasound. Frozen section examination during excision of seminal vesicle neoplasm showed carcinoma whose origin was difficult to identify. Both of them were treated by radical excision of urinary bladder,seminal vesicle and prostate. The final histopathological assessment confirmed that both of 2 cases had primary adenocarcinoma of the seminal vesicle.Both patients recovered smoothly after the operation and showed no recurrence and metastasis respectively during a 3years follow- up and 6 months follow- up. Conclusion： Primary seminal vesicle carcinoma is rare and difficult to diagnoze before operation,and it has diverse imaging manifestations. Surgery is considered the main treatment while the range of resection should be broad enough.

关 键 词：精囊癌 诊断 治疗 

分 类 号：R737.23[医药卫生—肿瘤]