机器人辅助腹腔镜前列腺癌根治术治疗睾丸癌转移复发。

Case Reports in Urology Pub Date : 2024-06-11 eCollection Date: 2024-01-01 DOI:10.1155/2024/1941414
Kohei Hirose, Yasukazu Nakanishi, Ryo Andy Ogasawara, Naoki Imasato, Sao Katsumura, Madoka Kataoka, Shugo Yajima, Hitoshi Masuda
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引用次数: 0

摘要

导言:针对年轻患者转移至前列腺的恶性肿瘤的治疗证据很少。在此,我们将介绍一例睾丸癌前列腺转移的病例,患者在接受诱导化疗后接受了机器人辅助前列腺癌根治术。病例介绍。患者是一名 34 岁的男性,两年前因左侧睾丸肿瘤接受了根治性睾丸切除术,被诊断为混合性生殖细胞肿瘤。他在没有辅助治疗的情况下接受了随访,但排尿困难的症状使他怀疑患上了前列腺肿瘤,经前列腺活检确诊为前列腺精原细胞瘤。经过四个周期的化疗,肿瘤标志物恢复正常,影像学显示肿瘤缩小,他接受了机器人辅助前列腺癌根治术。治疗九个月后未发现复发:结论:对于有睾丸癌病史并伴有下尿路症状的男性,考虑前列腺复发转移非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robot-Assisted Laparoscopic Radical Prostatectomy for Prostatic Metastatic Recurrence from Testicular Cancer.

Introduction: Treatment evidence for malignancies metastatic to the prostate in young patients is scarce. Herein, we present a case of prostatic metastasis from testicular cancer treated with induction chemotherapy followed by robot-assisted radical prostatectomy. Case Presentation. The patient is a 34-year-old male who underwent radical orchiectomy for a left testicular tumor two years ago and was diagnosed with a mixed germ cell tumor. He was followed up without adjuvant therapy, but symptoms of dysuria lead to suspicion of a prostate tumor, which was diagnosed by prostate biopsy as seminoma of the prostate. After four cycles of chemotherapy, normalization of tumor markers, and tumor shrinkage on imaging, he underwent robot-assisted radical prostatectomy. No recurrence has been observed nine months after treatment.

Conclusion: In men with a history of testicular cancer presenting with lower urinary tract symptoms, it is important to consider recurrent prostate metastases.

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