前列腺乳头状囊腺癌1例报告  

A case report of papillary cystadenocarcinoma of the prostate

作　　者：刘博[1] 田宁宁 刘帅兵 张庆皎[1] 李成文 Liu Bo;Tian Ningning;Liu Shuaibing;Zhang Qingjiao;Li Chengwen(Department of Urology Surgery,Tianjin 4th Centre Hospital,Tianjin 300140,China)

机构地区：[1]天津市第四中心医院泌尿外科,天津300140

出　　处：《中华泌尿外科杂志》2025年第2期151-152,共2页Chinese Journal of Urology

摘　　要：前列腺乳头状囊腺癌临床罕见,2022年9月我院收治1例。患者,82岁,因全程无痛性肉眼血尿1周入院。膀胱镜检查见精阜前方乳头状肿物,术中切除尿道肿物和前列腺组织,见肿瘤根部源于前列腺腺体,前列腺腺体呈囊状扩张,内可见多发乳头状肿物。术后病理诊断:(前列腺)乳头状囊腺癌。术后随访18个月,未再次出现血尿症状。前列腺乳头状囊腺癌有明显的侵袭性和复发特征。因本病的放化疗效果尚不明确,对于病理明确诊断的患者,在一般情况允许下,建议首选根治性手术和/或周围淋巴结清扫,以达到较好的预后效果。Papillary cystadenocarcinoma of the prostate is a clinically rare condition,and we admitted one case in September 2022.The patient was an 82-year-old male presenting with asymptomatic gross hematuria for one week.Cystoscopy revealed a papillary lesion located anterior to the verumontanum.During surgery,resection of the urethral lesion and prostate tissue showed that the tumor base originated from the cystically dilated prostate gland with multiple papillary lesions.Postoperative pathological diagnosis confirmed papillary cystadenocarcinoma of the prostate.The patient was followed up for 18 months without recurrence of hematuria or other symptoms.Papillary cystadenocarcinoma of the prostate exhibits distinct aggressive and recurrent characteristics.For patients with a pathologically confirmed diagnosis,given the current unclear effectiveness of radiotherapy and chemotherapy,it is advisable to prioritize radical surgical treatment and/or lymph node dissection in patients with good general condition to achieve a better prognosis.

关 键 词：前列腺癌 乳头状囊腺癌 前列腺 

分 类 号：R73[医药卫生—肿瘤]