前列腺癌伴前列腺前方脂肪内淋巴结转移1例报告

Prostate cancer with lymph node metastasis in anterior prostatic fat: a case report

淋巴转移是前列腺癌常见的转移方式。前列腺癌伴前列腺前方脂肪内淋巴结转移少见报道。本文报道1例患者,根治性前列腺切除术中发现前列腺前方脂肪内淋巴结肿大,病理检查提示淋巴结转移,术后行辅助内分泌治疗,随访16个月无生化复发。前列腺前方脂肪内淋巴结转移的发现对明确前列腺癌病理分期、制订治疗计划具有一定的临床价值。

Lymphatic metastasis is commonly encountered in prostate cancer.However,prostate cancer along with lymph node involvement in anterior prostatic fat is rarely reported.Here we present one case.Lymphadenectasis was noticed during robot-assisted laparoscopic radical prostatectomy.Histopathologic examinations confirmed lymph node metastasis in anterior prostatic fat.The patient was assigned to adjuvant androgen deprivation therapy.At 16-month follow-up,biochemical recurrence has not occurred.Detection of lymph node metastasis in anterior prostatic fat of prostate cancer patients provides valuable information for adequate postoperative staging and management.