原发性精囊恶性肿瘤的诊断及治疗(附3例报告)

The treatment and diagnosis of primary malignant tumor of the seminal vesicle (report of 3 cases)

目的探讨原发性精囊恶性肿瘤的诊断及治疗方法。方法回顾分析了3例原发性精囊恶性肿瘤的症状、体征、检查结果及手术方案,并对患者进行随访,总结了原发性精囊恶性肿瘤诊断及治疗特点。结果1例行双侧精囊连同膀胱、前列腺、直肠(全盆腔切除术)根治性切除术,2例行精囊肿瘤、膀胱部分、前列腺部分切除术,2例术后随访5年内无复发和转移,1例术后至今(3个月)未复发。结论原发性精囊恶性肿瘤初期症状不明显,早期诊断困难,容易误诊,但是临床工作中注意该病的存在,可提高诊断率。手术是本病的基本治疗措施,可根据肿瘤的范围、周围器官受累情况选择手术范围。

Objective To investigate the diagnosis and therapeutic methods for primary malignant tumor of the seminal vesicle. Methods In a retrospective study, the symptoms, signs, imaging techniques, additional laboratory results and operation regimen of 3 cases of primary malignant tumor of the seminal vesicle of were analysised retrospectively. The followup period was from 3 months to 5 years. Results Bilateral seminal vesicles, bladder, prostate and rectum were totally removed in one case. Seminal vesiculectomy and partial cystoprostotectomy were performed in 2 cases, the time of follow-up being 3 months to 5 years, and no recurrence had been observed so far. Conclusion Early symptoms of primary malignant tumor of the seminal vesicle is occult as a result, early diagnosis of seminal vesicle carcinoma has often been difficult and misdiagnosis often happens. Therefore, accurate recognition is important for early diagnosis. Radical surgery appears to offer the best chance and different approaches can be selected according to tumor stage and invasive condition of the circumambient organ.