前列腺偶发癌9例临床分析  

Clinical features of incidental prostate cancer(report of 9 cases)

作　　者：姚璇 刘波 王黎[2] 李昊[2] 李平飞 黄力[2] 陈从波[2] 姚启盛[2] YAO Xuan;Liu Bo;WANG Li(Deapartment of Nosocomial Infection Administration and preventive health care,Taihe hospital,Hubei University of Medicine,Hubei,Shiyan 442000,China)

机构地区：[1]湖北省十堰市太和医院防保感控处,442000 [2]湖北省十堰市太和医院泌尿外科,442000 [3]湖北医药学院基础医学院

出　　处：《临床外科杂志》2023年第4期380-382,共3页Journal of Clinical Surgery

基　　金：湖北省十堰市科技局引导性科研项目(21Y29);十堰市太和医院“基础+临床”团队项目([2021]83)。

摘　　要：目的总结前列腺偶发癌的临床及病理特点。方法回顾性分析2018年1月~2021年12月收治的9例前列腺偶发癌病人的临床资料。所有病人均接受手术治疗,术后病理检查证实为前列腺腺癌。总结病人的临床、病理特征。结果所有病人均接受手术,术后均痊愈出院。6例在膀胱切除标本中检出前列腺腺癌;3例前列腺增生术后病理检测到前列腺腺癌。9例病人中,7例病人Gleason评分为6分,2例为7分。随访有1例病人术后PSA持续升高,行机器人辅助腹腔镜前列腺癌根治术。结论前列腺偶发癌预后与其自身关系有限,前列腺偶发癌通常无需手术,但需要主动监测,定期完善PSA和前列腺MRI检查,必要时手术。Objective To summarize the clinical and pathological features of incidental prostate cancer.Methods The clinical data of 9 cases admitted from Jan 2018 to Dec 2021 were retrospectively analyzed.All patients underwent surgical treatment,and postoperative pathological examination confirmed prostate adenocarcinoma.Summarize the clinical and pathological features of the patients.Results All patients were discharged after operation.Prostate adenocarcinoma was detected in 6 cases in cystectomy specimens.Adenocarcinoma of prostate was detected pathologically in 3 patients with hyperplasia of prostate.Gleason score was 6 in 7 and 7 in 2 of the 9 patients.During follow-up,1 patient received robot-assisted laparoscopic radical prostatectomy with continuous PSA increase.Conclusion Outcome of incidental prostate cancer has limited relationship with incidental prostate cancer itself.Occasional prostate cancer usually requires no surgery,but active surveillance is required.A few of incidental prostate cancer.patients may undergo prostatectomy if necessary.

关 键 词：前列腺偶发癌 临床特征 治疗 

分 类 号：R737.25[医药卫生—肿瘤]