Stromal tumor of the rectum and leiomyosarcoma of the prostate as a cause of urinary syndrome attributable to BPH
Stromal tumor of the rectum and leiomyosarcoma of the prostate as a cause of urinary syndrome attributable to BPH
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直肠间质瘤和前列腺平滑肌肉瘤是 BPH 引起的泌尿系统综合征的原因
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发表时间：
2000
期刊：
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通讯作者：
A. IpiénsAznar
中科院分区：
文献类型：
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作者：
Cuesta Alcalá Ja;I. PascualPiédrola;Arrondo Arrondo Jl;J. AldaveVillanueva;A. SolchagaMartínez;L. RipasSaldías;Grasa Lanau;M. PonzGonzález;A. IpiénsAznar
目的：探讨前列腺增生症(BPH)患者下尿路症状的分类，以明确不同病因、特征相似的患者的治疗指征。本文还对相关文献进行了综述。方法：2例确诊为BPH的患者，年龄分别为62岁和63岁，分别为胃肠道间质瘤(GIST)和前列腺平滑肌肉瘤。第一例患者接受了耻骨后切除术。冰冻切片分析显示为GIST。第二例患者接受过两次TURP。最后一次医学检查的会阴活组织检查显示前列腺平滑肌肉瘤。这位患者最终接受了骨盆肿瘤切除术。讨论了BPH的国际分类：PQSF(P：经直肠超声或DRE测定的前列腺重量；Q：生活质量评估；S：国际前列腺症状评分；F：尿流率测定最大尿流率-Qmax)。结论：该分类方法是可行的，但仍需改进。在我们看来，有助于确定诊断方向的细节可能会因过于简单化而丢失。
OBJECTIVE: To discuss the classifications of patients with lower urinary tract symptoms ascribed to BPH, in order to define the indication for treatment for patients with similar features but of a different etiology. The literature is also reviewed. METHODS/RESULTS: Two patients, aged 62 and 63 years, diagnosed as having BPH were found to have a gastrointestinal stromal tumor (GIST) and a leiomyosarcoma of the prostate, respectively. The first patient had undergone retropubic resection. Frozen section analysis revealed a GIST. The second patient had undergone TURP twice. A perineal biopsy at the last medical examination showed a leiomyosarcoma of the prostate. This patient finally underwent pelvic tumorectomy. The international classification of BPH is discussed: PQSF (P: prostatic weight determined by transrectal US or DRE; Q: quality of life assessment; S: international prostate symptom score (IPSS); F: maximum urinary flow rate by uroflowmetry--Qmax). CONCLUSIONS: The classifications are practical, but should be improved. In our view, details useful in orienting the diagnosis could be lost by oversimplification.