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Title: 精嚢腺癌と鑑別を要した嚢胞形成を伴うPSA低値前立腺癌の1例
Other Titles: A Case of Prostatic Cancer with a Low PSA Level Accompanied with Cystic Formation Requiring Differentiation from Adenocarcinoma of the Seminal Vesicle
Authors: 伊丹, 祥隆  KAKEN_name
永井, 康晴  KAKEN_name
小林, 泰之  KAKEN_name
清水, 信貴  KAKEN_name
山本, 豊  KAKEN_name
南, 高文  KAKEN_name
林, 泰司  KAKEN_name
野澤, 昌弘  KAKEN_name
吉村, 一宏  KAKEN_name
石井, 徳味  KAKEN_name
植村, 天受  KAKEN_name
Author's alias: Itami, Yoshitaka
Nagai, Yasuharu
Kobayashi, Yasuyuki
Shimizu, Nobutaka
Yamamoto, Yutaka
Minami, Takafumi
Hayashi, Taiji
Nozawa, Masahiro
Yoshimura, Kazuhiro
Ishii, Tokumi
Uemura, Hirotsugu
Keywords: Adenocarcinoma of the seminal vesicle
Prostatic cancer with cystic formation
Issue Date: Jul-2012
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 58
Issue: 7
Start page: 349
End page: 353
Abstract: A 70-year-old man with the complaint of macrohematuria and hematospermia was admitted to our hospital for further examination of a cystic formation of the right seminal vesicle, 3.6 cm in diameter, detected by magnetic resonance imaging(MRI). Cystoscopy revealed no remarkable change, but urine cytology was class III. The serum concentration of prostate specific antigen (PSA) was within the normal range of 1.83 ng/ml. Transperineal needle biopsy of the prostate and cystic tumor of the seminal vesicle revealed adenocarcinoma of the prostate and seminal vesicle, but immunostaining for PSA was negative, so we diagnosed the case as primary adenocarcinoma of the seminal vesicle. Bloody fluid of the cyst was obtained by transperineal aspiration, but no cancer cells were detected by cytological examination. Total prostatectomy was performed, and pathological findings was infiltration of prostate cancer into the seminal vesicle (pT3b) because immunostaining of the PSA was positive.
Rights: 許諾条件により本文は2013-08-01に公開
URI: http://hdl.handle.net/2433/159081
PubMed ID: 22895132
Appears in Collections:Vol.58 No.7

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