恶性priapism,一个不祥的迹象与阴暗的预后:一个病例报告
Rajan Ravichandran1, Roshan Reddy1, Velmurugan Palaniyandi1
1Urology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|April 7, 2025
概括
恶性 priapism 是晚期前列腺癌的一种罕见并发症,由于瘤细胞透而导致疼痛勃起. 这一案例凸显了阴茎转移的侵略性和不良预后.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 恶性 priapism 是一种罕见的,严重的高级恶性瘤的表现,通常由前列腺腺癌等生殖尿路癌引起.
- 这意味着扩散的转移性疾病,表明预后较差,并呈现为治疗不耐用的长期疼痛勃起.
研究的目的:
- 报告患有前列腺腺癌发病后的恶性priapism病例.
- 强调诊断和治疗方面的挑战,以及在管理阴茎转移时需要采用多学科方法.
主要方法:
- 一名70岁的男性有晚期前列腺癌的病史,出现了痛苦的前列腺炎和阴茎结节.
- 诊断成像包括高分辨率的阴茎超声波和18F-氧葡萄糖正子发射断层扫描 (18F-FDG PET) 扫描.
- 治疗涉及疼痛控制,全身切除术与周围尿路切除术,以及组织病理学确认.
主要成果:
- 影像检查证实了前列腺癌的多个阴茎转移性沉积物.
- 尽管进行了包括手术在内的积极治疗,但患者还是死于这种疾病.
- 组织病理学证实了阴茎组织中透的癌性沉积物.
结论:
- 由前列腺癌引起的阴茎转移是具有攻击性和挑战性的,难以诊断和治疗.
- 多学科的方法对于有效的管理至关重要.
- 在这种情况下,早期识别和缓解策略对于改善生活质量至关重要.
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