前列腺原发性淋巴瘤一例报道并文献复习

发布时间：2018-03-30 10:04

本文选题：淋巴瘤　切入点：前列腺肿瘤　出处：《中国全科医学》2017年29期

【摘要】：目的前列腺原发性淋巴瘤较为罕见,本文回顾性分析1例前列腺原发性淋巴瘤患者的临床资料,进一步探讨前列腺原发性淋巴瘤的临床诊断、治疗及预后。方法选取浙江省荣军医院泌尿外科2010-03-26收治的1例前列腺原发性淋巴瘤患者的临床资料。分析其临床表现、实验室检查结果及诊治经过。结果本例患者血清前列腺特异性抗原(PSA)4μg/L,盆腔CT提示前列腺明显增大,前列腺肿块,增强CT提示肿块无明显强化。超声提示前列腺明显增大,局部多发低回声病灶,病灶内血流信号丰富。组织病理学符合前列腺大B细胞型恶性淋巴瘤。行前列腺放射治疗后肿块明显减小。结论前列腺原发性淋巴瘤实验室检查、影像学检查具有特征性,对于临床诊断具有辅助意义。放射治疗是治疗前列腺原发性淋巴瘤的有效方法,可缓解尿路梗阻症状,必要时可联合化疗。
[Abstract]:Objective to investigate the clinical diagnosis of primary prostatic lymphoma (PHL) by retrospectively analyzing the clinical data of one patient with primary prostatic lymphoma. Methods the clinical data of a patient with primary prostatic lymphoma treated in the Department of Urology of Rongjun Hospital of Zhejiang Province 2010-03-26 were analyzed. Results the serum prostate specific antigen (PSAA) was 4 渭 g / L in this patient. Pelvic CT showed that the prostate was obviously enlarged, the prostate mass was not enhanced by enhanced CT, and the prostate was obviously enlarged by ultrasound. Local multiple hypoechoic lesions with abundant blood flow signal in the lesion. Histopathology was consistent with large B cell lymphoma of prostate. The mass decreased obviously after prostatic radiotherapy. Conclusion Laboratory examination of primary prostatic lymphoma, Radiotherapeutic therapy is an effective method for the treatment of primary prostatic lymphoma, which can relieve the symptoms of urinary tract obstruction and, if necessary, be combined with chemotherapy.
【作者单位】：浙江省荣军医院泌尿外科;
【分类号】：R737.25

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