原发性精囊癌较为罕见,由于恶性程度较高,术后存活1年以上者较为少见。我院1990年收治1例,采用下半膀胱、精囊前列腺全切和部分直肠切除治疗,术后已存活2年,患者无不适症状,现报告如下。男,38岁,已婚。入院前2月无诱因地遗精时发现精液呈暗红色并伴血块,1月前劳累后出现无痛性终末血尿转入我院。检查:一般情况良好。血常规及血沉均正常;尿常规:红细胞110个/HP,白细胞10个/HP,蛋白±。胸片及腹部脏器超声检查均无 Primary seminal vesicle cancer is relatively rare, due to the higher degree of malignancy, postoperative survival of more than 1 year are rare. A hospital in 1990, 1 case, the lower half of the bladder, seminal vesicle prostate resection and partial resection, postoperative survival has been 2 years, the patient without symptoms, are as follows. Male, 38 years old, married. Pre-admission 2 months without predisposition to sperm was found when semen was dark red and accompanied by blood clots, fatigue after January appeared terminal painless hematuria into our hospital. Check: Generally good. Blood and ESR were normal; urine routine: red blood cells 110 / HP, white blood cells 10 / HP, protein ±. Chest radiography and abdominal organs were no ultrasound