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目的总结因前列腺增生(BPH)手术后数年又疑前列腺增生再次手术后前列腺偶发癌的诊治经验。方法回顾性分析1980～2005年因再次前列腺增生术后21例发现15例偶发癌资料,年龄59～91岁,腺癌13例,前列腺移行细胞癌2例。发生率高达74.1%。结果15例随访6～60个月,6～12个月死亡2例,12个月～24个月死亡2例,24个月～36个月死亡3例,36个月～60个月死亡1例,现存活7例,其中2例随访13个月后失访。结论再次因前列腺增生而行手术者,其间变率较高,故因可疑前列腺再度增生者,宜B超定期监测及PSA测定。直肠指诊(DRE)可疑时要病理活检,以利早诊早治。
Objective To summarize the experience of diagnosis and treatment of prostate cancer after reoperation of benign prostatic hyperplasia after benign prostatic hyperplasia (BPH) for several years. Methods A retrospective analysis of 15 cases of sporadic cancers was performed in 21 cases of BPH patients from 1980 to 2005, aged 59-91 years, 13 cases of adenocarcinoma and 2 cases of transitional cell carcinoma of the prostate. The incidence of up to 74.1%. Results 15 cases were followed up for 6 to 60 months, 2 died from 6 to 12 months, 2 died from 12 months to 24 months, 3 died from 24 months to 36 months and died from 36 months to 60 months. For example, 7 patients survived, of which 2 were lost to follow up for 13 months. Conclusions Again due to benign prostatic hyperplasia surgery, during which a high rate of change, it is due to suspicious prostatic hyperplasia, should be B-regular monitoring and PSA determination. Digital rectal examination (DRE) biopsy to suspicious, to facilitate early diagnosis and treatment.