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目的探讨前列腺意外癌的发病率、诊断及治疗方法。方法总结1984年1月至2004年5月因前列腺增生症手术病理检出的前列腺癌19例的临床资料,病理诊断后6例行双侧睾丸切除术+雌激素治疗、7例单纯双侧睾丸切除术、6例未做任何治疗。结果A1期5例、A2期14例。12例获得随访,随访时间3个月～10年。其中1例术后未做任何治疗者,1年后发生耻骨及腰椎成骨性转移而死亡。结论前列腺意外癌大多属于A期,预后较好,双侧睾丸切除+雌激素治疗可提高生存率。
Objective To investigate the incidence of prostate cancer, diagnosis and treatment. Methods From January 1984 to May 2004, the clinical data of 19 cases of prostate cancer detected by surgical pathology of benign prostatic hyperplasia were retrospectively analyzed. Six cases underwent bilateral orchiectomy + estrogen therapy after pathological diagnosis, and 7 cases of simple bilateral testis Excision, 6 cases without any treatment. Results A1 in 5 cases, A2 in 14 cases. Twelve cases were followed up for 3 months to 10 years. One of the patients who did not have any treatment after the operation died of osteoarthritis of the pubis and lumbar one year later. Conclusions Prostate cancer mostly belongs to stage A, the prognosis is good, bilateral orchiectomy + estrogen therapy can improve the survival rate.