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前立腺肥大症の術後2年以内に診断された前立腺癌2例を経験した。症例1は73歳で経尿道的前立腺切除術施行2年後に病期C前立腺癌を認め,根治的前立腺摘除術,両側精巣摘除術を行い,現在再発転移はない。症例2は69歳で恥骨上式前立腺摘除術,および経尿道的前立腺切除術施行2年後に,病期D2前立腺癌と診断し,両側精巣摘除術,エストロゲン投与を行った。自験例と同様に術後2年以内の癌の早期顕在化を見た本邦報告例計8例を検討し,考察を加えた。
We experienced two cases of prostatic adenocarcinoma which had a prior prostatectomy for benign prostatic hyperplasia (BPH).
Case 1 ; A 76-year old man underwent TUR-P 22 months before his stage C prostatic cancer was manifested. Radical prostatectomy with castration was performed. No metastatic finding was identified.
Case 2 ; A 69-year old man received suprapubic pros-tatectomy and successive TUR-P for BPH 22 months before his stage D2 prostatic cancer was diagnosed and treated by castration and estrogen. He is enjoying an active life.
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