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Title: 術前内分泌療法が奏効しRobot-assisted laparoscopic radical prostatectomyで切除し得た多房性嚢胞を伴う前立腺導管癌の1例
Other Titles: Efficacy of Neoadjuvant Endocrine Therapy for Prostate Ductal Carcinoma with Large Multiple Cysts Prior to Robot-Assisted Laparoscopic Radical Prostatectomy
Authors: 神尾, 絵里  KAKEN_name
木下, 秀文  KAKEN_name
矢西, 正明  KAKEN_name
島田, 誠治  KAKEN_name
小糸, 悠也  KAKEN_name
渡辺, 仁人  KAKEN_name
杉, 素彦  KAKEN_name
小山, 貴  KAKEN_name
松田, 公志  KAKEN_name
Author's alias: Jino, Eri
Kinoshita, Hidehumi
Yanishi, Masaaki
Shimada, Seiji
Koito, Yuya
Watanabe, Akihito
Sugi, Motohiko
Koyama, Takashi
Matuda, Tadashi
Keywords: Ductal adenocarcinoma
Cyst formation
Issue Date: 30-Apr-2020
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 66
Issue: 4
Start page: 127
End page: 130
Abstract: A 71-year-old man with gross hematuria and urinary retention showed a 7×8 cm polycystic mass compressing the prostate on the right ventral side on pelvic magnetic resonance imaging (MRI). The prostate specific antigen (PSA) level was 6.47 ng/ml. Prostate biopsy histopathology was consistent with prostate ductal carcinoma. Considering the difficulty of surgical therapy, endocrine therapy was undertaken prior to surgery for seven months. Almost all of the cyst disappeared ; robot-assisted laparoscopic radical prostatectomy was then successfully performed. Prostate ductal carcinoma is a relatively rare pathology for which radical prostatectomy plays an important role if the disease is localized. However, when ductal carcinoma involves large cysts, surgical treatment may be difficult. This report discusses the usefulness of neoadjuvant endocrine therapy to reduce the size of the cystic lesions.
Rights: 許諾条件により本文は2021/05/01に公開
DOI: 10.14989/ActaUrolJap_66_4_127
PubMed ID: 32483947
Appears in Collections:Vol.66 No.4

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