泌尿男生殖系统同时性三重癌1例报告  

A case report of synchronous triple cancers in the urinary and male reproductive system

作　　者：张桂银 廖洪 刘磊 唐多才 张芳 Zhang Guiyin;Liao Hong;Liu Lei;Tang Duocai;Zhang Fang(Department of Urology,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,University of Electronic Science and Technology of China,Chengdu 610041,China;Department of Pathology,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,University of Electronic Science and Technology of China,Chengdu 610041,China)

机构地区：[1]电子科技大学医学院附属肿瘤医院四川省肿瘤医院研究所四川省癌症防治中心泌尿外科,成都610041 [2]电子科技大学医学院附属肿瘤医院四川省肿瘤医院研究所四川省癌症防治中心病理科,成都610041

出　　处：《中华泌尿外科杂志》2023年第11期861-862,共2页Chinese Journal of Urology

摘　　要：多重原发性癌少见,而发生于泌尿系统的同时性多重原发性癌罕见,本文报道1例同时性泌尿系多重癌。患者因左髋关节疼痛人院,盆腔MRI检查发现前列腺左侧外周带及右肾占位,行前列腺及右肾肿物穿刺,病理分别提示前列腺腺癌和右肾透明细胞癌。因MRI检查提示膀胱占位,行经尿道膀胱肿瘤等离子电切术,术后病理提示膀胱低级别乳头状尿路上皮癌。予联合化疗7个月;术后16个月患者因肿瘤全身多发转移而死亡。Multiple primary cancers are rare,and synchronous multiple primary cancers occurring in the urinary system are even rarer.This article reported a male patient with synchronous multiple cancers in the urinary and male reproductive system.The patient was admitted due to left hip joint pain and the possibility of malignancy in the prostate and kidney metastasis was not ruled out.Biopsy of the prostate and right kidney revealed prostate adenocarcinoma with a Gleason score of 5+5 and clear cell renal cell carcinoma,respectively.Because an MRI indicated a bladder lesion,transurethral resection of the bladder tumor was performed,which revealed low-grade papllary urothelial carcinoma of the bladder.After seven months of combined chemotherapy,the patient died 16 months after surgery due to multiple metastases of the tumors throughout the body.

关 键 词：癌 肾细胞 前列腺癌 膀胱尿路上皮癌 多重原发性癌 

分 类 号：R737[医药卫生—肿瘤]