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Primary squamous cell carcinoma of the seminal vesicle: A case report and review of the literature

机译:原发性精囊鳞状细胞癌1例并文献复习

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Rationale: Primary squamous cell carcinoma (SCC) of the seminal vesicle is extremely rare, and the clinical characteristics of this kind of malignancy are still unclear. Patient concerns: A 62-year-old male patient presented with complaints of sensation of rectal tenesmus and dysuria. Diagnosis: Ultrasonography suggested a hypoechoic mass behind the bladder, meanwhile, computerized tomography (CT) and magnetic resonance imaging (MRI) revealed a 40 mm × 45 mm × 48 mm mixed solid/cystic tumorous lesion in the right seminal vesicle. Postoperative histology confirmed the diagnosis of primary SCC in the seminal vesicle. Intervention: The mass was surgically excised with a laparoscopic approach. Postoperatively, 6 cycles of chemotherapy and 50 Gy of external beam radiation were concurrently performed on this patient. Outcomes: No local recurrence or distant metastasis was detected within 2 years after the surgery. Lessons: Primary SCC of the seminal vesicle is a rare neoplasm with a poor prognosis. Clinically, it is crucial to establish early precise diagnosis and apply multimodality treatment.
机译:理由:精囊原发性鳞状细胞癌(SCC)极为罕见,此类恶性肿瘤的临床特征仍不清楚。患者关注:一名62岁的男性患者,因直肠里急后重感和排尿困难而感到不适。诊断:超声检查提示膀胱后部有低回声肿块,同时计算机断层扫描(CT)和磁共振成像(MRI)显示右侧精囊有40 mm×45 mm×48 mm混合的实体/囊性肿瘤病变。术后组织学证实了精囊中原发性鳞癌的诊断。干预:采用腹腔镜手术切除肿物。术后,该患者同时进行了6个周期的化疗和50 Gy的外部束辐射。结果:手术后2年内未发现局部复发或远处转移。经验教训:精囊原发性SCC是罕见的肿瘤,预后较差。在临床上,至关重要的是建立早期的精确诊断并应用多模式治疗。

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