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作 者:潘迪 王昆 王庆 江克华 孙发 PAN Di;WANG Kun;WANG Qing;JIANG Kehua;SUN Fa(School of Clinical Medicine,Guizhou Medical University,Guiyang,Guizhou 550025,China;Department of Urology,Guizhou Provincial People’s Hospital,Guiyang,Guizhou 550002,China)
机构地区:[1]贵州医科大学临床医学院,贵阳550025 [2]贵州省人民医院泌尿外科,贵阳550002
出 处:《重庆医学》2022年第12期2037-2039,2044,共4页Chongqing medicine
基 金:国家自然科学基金项目(82060136);贵州省科学技术基金项目[(2020)4Y142]。
摘 要:回顾性分析2020年10月贵州省人民医院接受治疗的1例膀胱小细胞癌伴偶发前列腺癌患者的临床病理资料,并结合文献复习,初步探讨针对该病的诊治方法。患者年龄71岁,男,入院检测前列腺特异性抗原(PSA)为3.755 ng/mL,术前接受泌尿系CT增强扫描及膀胱镜检,以及前列腺磁共振成像、穿刺等相关检查,行腹腔镜下根治性膀胱切除术+回肠代膀胱术,术后病理显示膀胱小细胞癌伴发前列腺癌,其中前列腺癌Gleason评分为6分,随访4周患者无复发。The clinicopathological data of a patient with small cell carcinoma of bladder and incidental prostate cancer who received treatment in Guizhou Provincial People’s Hospital in October 2020 were retrospectively analyzed,and combined with literature review,the diagnosis and treatment methods for the disease were preliminarily discussed.The patient was a 71-year-old male.The prostate-specific antigen(PSA)was 3.755 ng/mL on admission.The patient underwent contrast-enhanced CT scan of the urinary system and cystoscopy,as well as prostate magnetic resonance imaging,puncture and other related examinations before surgery.Laparoscopic radical cystectomy+ileal replacement of the bladder was performed.The postoperative pathology showed small cell carcinoma of bladder combined with incidental prostate cancer,the Gleason score of prostate cancer was 6 points.The patient was followed up for 4 weeks without recurrence.
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