原发性前列腺尿路上皮癌(附1例报告)

Primary urothelial carcinoma of the prostate (report of 1 case)

目的探讨原发性前列腺尿路上皮癌的诊断与治疗原则。方法分析1例原发性前列腺尿路上皮癌患者的临床资料,并结合文献复习讨论。结果患者行经尿道前列腺电切术,术后予吡柔比星膀胱灌注化疗。结论原发性前列腺尿路上皮癌是恶性度较高的疾病,确诊主要依赖前列腺穿刺活检及术后病理检查,治疗以手术加膀胱灌注化疗为主,经尿道前列腺电切术不能改善其预后,其预后较其他前列腺癌差。

Objective To discuss the diagnosis and treatment of primary urothelial carcinoma of the prostate. Methods The clinical data and features of 1 case with primary urothelial carcinoma of the prostate were reviewed. The diagnostic, clinical and therapeutical aspects of this rare neo- plasms are discussed. Results The patient received TURP and was treated with THP through in- travesical administration after operation. Conclusions Primary urothelial carcinoma of the prostate is a rare disease. The diagnosis of the disease depends on the transrectal needle biopsy of the prostate or the specimens of the prostate after the operation. Transurethral resection of the prostate can not improve the prognosis. Primary urothelial carcinoma of the prostate has uniformly poorer prognosis than other types of prostate carcinoma.