偶发前列腺癌(附15例报告)

目的 :探讨偶发前列腺癌的诊断和治疗。方法 :316例诊断前列腺增生症行前列腺切除 ,标本中检出前列腺癌 15例 ,总检出率 4 .7%。 14例行睾丸以切除 ,其中 10例服用抗雄激素药物 ,另 1例单纯服用抗雄激素药物 ,未切除睾丸。结果 :15例均获随访 ,时间 0 .5 a～ 7a。 2例死于肿瘤转移 ,1例死于心肌梗死 ,2例带瘤生存 ,10例无瘤生存。结论 :偶发前列腺癌诊断后应行双睾丸切除并给予抗雄激素药物治疗。

Incidental adenocarcinoma of prostate(report of 15 cases)

Objective:To investigate the diagnosis and treatment of incidental prostatic carcinoma.Methods:In 316 cases of benign prostate hyperplasia spelimens,15 cases of incidental prostatic carcinoma were confirmed on pathological examination after prostatectormy.The total pick up rate is 4.7 %.Biorchiectomy was performed in 14 cases of them,in whith 10 cases were given antiandrogen treatment at the same time,and another 1 case took antiandrogen only without biorchiectomy.Results:All the 15 cases of incidental prostatic carcinoma were followed up for 1/2 to 7 years,of which 2 cases died of carcinoma metastasis,1 case died of cardiopulmonary disease and 2 cases lived with carcinoma,10 cases lived without carcinoma.Conclusion:Once incidental prostatic carcinoma is diagnosised biorchiectomy should be performed and in the meanwhile antiandrogen treatment should be taken.