膀胱癌伴偶发前列腺癌2例报告并文献复习

Bladder Cancer Combined with Incidental Prostate Cancer:Two Case Report and Review of the Literatures

目的探讨膀胱癌合并前列腺癌的诊断及治疗。方法回顾性分析作者单位自2018年3月至2018年5月间的2例膀胱癌术后偶发前列腺癌的临床病理资料,并复习相关文献。结果 2例患者平均年龄为65. 13岁,均为男性,平均PSA值为3. 24ng/ml,术前均接受泌尿系B超、泌尿系CT强化扫描及膀胱镜检查,2例患者均接受腹腔镜下膀胱全切术及回肠膀胱术,术后偶发前列腺癌平均Gleason评分为6. 5分,术后一直随访至今。结论膀胱癌患者偶发前列腺癌的发病率并不低,所以对于膀胱癌患者要加强对前列腺癌的筛查,包括直肠指诊、PSA及泌尿系B超,必要时行经直肠前列腺穿刺活检术以发现可能同时存在的偶发前列腺癌。

Objective To explore the diagnosis and treatment of bladder cancer complicated with prostate cancer. Methods The clinical and pathological data of 2 cases of incidental prostate cancer after bladder cancer operation in our department from March 2018 to May 2018 were retrospectively analyzed,the relative literatures were reviewed. Results Two cases of patients with an average age of 65. 13 years,and the average value of 3. 24 ng/ml PSA. Both patients underwent Beta-ultrasound exam,enhanced CT scan and cystoscopy,2 patients were treated by laparoscopic radical cystectomy with ileal conduit,the prostate cancer Gleason score was 6. 5 on average,both cases were followed up until now. Conclusions The incidental prostate cancer was not rare in bladder cancer patients. Therefore,it is necessary to strengthen the screening for prostate cancer in the bladder cancer patients,including the digital rectal examination,PSA and Beta-ultrasound exam. If necessary,the transrectal prostate puncture biopsy should be performed to find the possible prostate cancer.