腺癌包括尿膀的腺癌
Pule Wang1, Michael Joiner2, Stephen Dzul1
1School of Medicine, Wayne State University, Detroit, Michigan, USA.
BMJ case reports
|July 18, 2023
概括
本案例研究详细介绍了一名患有复发性腺癌的患者,最初被诊断为前列腺癌,后来被确定为结肠直肠癌. 用化学辐射和立体辐射疗法的成功再治疗导致了积极的反应,没有疾病的证据.
科学领域:
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
- 胃肠病学 胃肠病学
背景情况:
- 一名70岁的男性有前列腺腺癌史,接受了外部束辐射疗法 (EBRT) 和胸膜疗法,出现了尿路症状.
- 囊镜检查发现了膀部瘤,病理学发现是高度腺癌,怀疑是结肠直肠起源的.
- 包括结肠镜,成像和基因组分析在内的初步调查支持结肠直肠初级,尽管有前列腺癌史.
研究的目的:
- 报告一种罕见的复发性结直肠腺癌的病例,模仿前列腺癌.
- 描述从结直肠癌中出现复发性膀和前列腺干扰的患者的管理和治疗结果.
- 突出先进的辐射技术在治疗复发性骨盆恶性瘤中的作用.
主要方法:
- 患者接受了膀瘤的经尿道切除.
- 化学辐射与同时使用capecitabine,结合EBRT和胸膜疗法,进行了治疗.
- 一个复发的中直肠淋巴结被用立体体辐射疗法 (SBRT) 治疗.
主要成果:
- 病理学证实了高度腺癌与结直肠原发性相一致.
- 化学辐射后的成像显示了一个扩大的中直肠淋巴结,涉及复发.
- SBRT治疗导致了积极的反应,在后续成像中没有其他疾病的证据.
结论:
- 甲时性结直肠腺癌可以出现在膀和前列腺中,模仿原发性前列腺癌.
- 多模式治疗,包括SBRT的再辐射,可以有效治疗结直肠起源的复发性盆腔恶性瘤.
- 准确的诊断和量身定制的治疗策略对于管理复杂的瘤病例至关重要.
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