前列腺免穿刺诊治侏儒症合并前列腺癌一例报告  

Diagnosis and treatment of dwarfism with prostate cancer without prostate biopsy:a case report

作　　者：张宝岭 周嘉统 夏帅 李涛[1] 王准[1] 刘冉录[1] Zhang Baoling;Zhou Jiatong;Xia Shuai;Li Tao;Wang Zhun;Liu Ranlu(Department of Urology,The Second Hospital of Tianjin Medical University,Tianjin Institute of Urology,Tianjin 300200,China)

机构地区：[1]天津医科大学第二医院泌尿外科,天津市泌尿外科研究所,300200

出　　处：《中华泌尿外科杂志》2021年第5期392-393,共2页Chinese Journal of Urology

基　　金：天津市科技计划项目(19ZXDBSY00050);天津市卫生健康委员会科技项目(ZC20116)。

摘　　要：侏儒症患者罹患前列腺癌在国内外少见报道,本文报道1例。患者因体检发现PSA升高4年余入院,由于患者患有侏儒症,肛门狭小,无法容纳经直肠超声探头,且高度怀疑前列腺癌,遂未行前列腺穿刺活检术。结合病史、PSA水平及术前MRI和PSMA-PET/CT检查后临床诊断为器官局限性前列腺癌,行根治性手术治疗。术后病理结果示前列腺癌,Gleason评分3+5分,切缘均阴性,盆腔淋巴结未见转移。术后辅助内分泌治疗,随访14个月无生化复发。Prostate cancer in patients with dwarfism is rarely reported.One case was reported in this article.The patient was admitted to the hospital due to the PSA elevation for more than 4 years.Due to the dwarf disease,the patient could not accommodate the transrectal ultrasound probe,and was highly suspected of prostate cancer.The prostate needle biopsy was not performed.Combined with the medical history,PSA level,preoperative MRI and PSMA-PET/CT examination,the patient was clinically diagnosed with localized prostate cancer,and radical surgical treatment was performed.

关 键 词：前列腺肿瘤 侏儒症 活组织检查 针吸 病例报告 

分 类 号：R737.25[医药卫生—肿瘤]