原发性精囊癌1例报道并文献复习

目的 探讨原发性精囊癌的诊治方法.方法 分析收治的原发性精囊癌1例,结合文献进行复习.结果 经CT、MRI及经直肠超声(transrectal ultrasound,TRUS)引导下穿刺活检确诊为精囊腺癌,行左侧精囊肿物切除、右侧精囊切除、膀胱与前列腺部分切除及左输尿管膀胱再吻合术,术后恢复良好.现已随访23个月,未见复发转移.结论 原发性精囊癌临床罕见,术前诊断较为困难,TRUS引导下穿刺活检可明确诊断,应根据患者个体情况选择不同的根治性切除术.术后定期随访,注意是否复发转移.

Primary carcinoma of seminal vesicle: a case report and literature review

Objective To discuss the clinical diagnosis and treatment of primary seminal vesicle carcinoma(SVCA).Methods Report a case of SVCA and make a review of related literature.Results We made the diagnosis of SVCA via CT,MRI and biopsy guided by the transrectal ultrasound(TRUS).Then the patient underwent a resection of the tumor in the left seminal vesicle,a right seminal vesiculectomy and left distal ureterectomy and partial cysto-prostatectomy,with a left iliac lymph node dissection.The patient showed no recurrence and metastasis during a 23-month follow-up.Conclusions SVCA is a rare entity that is difficult to diagnose before operation.Definite diagnosis can be made through biopsy guided by the TRUS.We should choose different radical operations according to different situations of patients.Postoperative follow-up is important to detect tumor recurrence and metastasis.