原发性精囊腺囊腺瘤1例报告
National Journal of Andrology（2022）
Abstract
原发性精囊腺囊腺瘤(seminal vesicle cystadeno-ma,SVC)罕见,国内外文献个案报道共30余例,我院收治1例报告如下.
1 病例资料
患,男,33岁,间断性血精10年伴排便时尿道口出血,无其他不适.查体:双肾及输尿管行径区无叩痛,盆腔无膨隆;直肠指检:前列腺尖部直肠间扪及一质软包块,体积较大,边界未触及.实验室:血常规、生化全套指标均正常;tPSA 0.228 μg/L,fPSA 0.089 μg/L,fPSA/tPSA 0.39.超声:前列腺受压下移,精囊腺区探及79 mm x55 mm x58 mm囊性包块,边清,内部透声差伴细密低回声沉积,内壁上方见18 mm×14 mm高回声菜花样结节(图1a),边界不规则,内部回声不均伴少许点状强回声.
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