原发性前列腺平滑肌肉瘤合并腺泡腺癌1例报告

Primary leiomyosarcoma of the prostate complicated with acinar adenocarcinoma:a case report

原发性前列腺平滑肌肉瘤罕见。本文报道1例前列腺平滑肌肉瘤合并腺泡腺癌。患者PSA异常升高,MRI检查提示前列腺恶性肿瘤,经会阴前列腺穿刺活检病理诊断平滑肌肉瘤。遂行腹腔镜根治性前列腺切除术,术后病理确诊为前列腺平滑肌肉瘤+腺泡腺癌。术后随访20个月未见复发和转移。

Primary leiomyosarcoma of the prostate is rare.A case of prostate leiomyosarcoma complicated with acinar adenocarcinoma in a 68-year-old man was reported.The patient's PSA was abnormally elevated,and MRI suggested prostate malignant tumor.Leiomyosarcoma was diagnosed by transperineal prostate biopsy and laparoscopic radical prostatectomy was performed.The diagnosis was confirmed by postoperative pathological examination.There was no recurrence or metastasis after 20 months of follow-up.