authors
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Andrzej Paradysz 1, Marcin Życzkowski 1, Adam Ziółkowski 2, Andrzej Kupilas 1, Mieczysław Fryczkowski 1
- 1 Katedra i Klinika Urologii w Zabrzu ¦l±skiej Akademii Medycznej w Katowicach
Kierownik kliniki: prof. dr hab. Mieczysław Fryczkowski
2 Katedra i Zakład Patomorfologii Wydziału Lekarskiego w Zabrzu ¦l±skiej Akademii Medycznej w Katowicach
Kierownik zakładu: dr hab. prof. ¦AM Andrzej Gabriel
keywords
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prostate, neurovascular bundle, neurosarcoma
summary
- Introduction.
- Malignant tumors of the peripheral nerves, especially in retrovesical location related to neurovascular bundle of the prostate are very rare. Treatment is difficult, and prognosis uncertain. Recurrences after non-radical operations are quite often.
- The aim of the study.
- Very rare tumor in retrovesical location is described. Diagnostic difficulties and results of surgical treatment and adjuvant radiotherapy are presented.
- Material and method.
- History of the patient with huge tumor of prostate area is presented. Patient underwent surgical treatment through transvesical approach and adjuvant radiotherapy. Nowadays, 4 years after the treatment, results of every follow-up examination are normal. Patient has no complaint, no problems with urine continence and erection.
- Conclusions.
- This case is presented because of rareness of occurrence, obtained 4-years survival and excellent quality of life after therapy.
references
- Garcia Figueiras R, Sousa Escandon A, Garcia Figueiras A, Gonzalez Rodriguez AA: Unusual retrovesical masses in men. Eur Radiol 2000; 10; 1639-1643.
- Gonzalez Enquita C, Caro Cebrian C, Gil Sanz MJ, Rodriguez Vela L: Obstruction of the upper urinary tract caused by a malignant retrovesical schwannoma. Therapeutic strategy. Actas Urol Esp 1990; 14; 46-49.
- Gonzalvo Perez V, Polo Peris A, Gomez Castro A, Presentia Rubio G: Retrovesical schwannosarcoma. Actas Urol Esp 1997; 21; 416-419.
- Witeska A, Pypno W, D±bkowski S: Nerwiakomięsak przestrzeni zaotrzewnowej. Przegl Lek 1982; 39; 581-582.
- Koziak A, Szcze¶niewski R, Kania P, Marcheluk A: Olbrzymi pozaotrzewnowy guz typu schwannoma imituj±cy guz nadnercza. Urol Pol 2004; 57 (3); 78-80.
- Sorensen C, Kristiansen VB, Luke M: Infravesical obstruction caused by a retrovesical malignant schwannoma. Scand J Urol Nephrol 1987; 21; 155-157.
- Maeda N, Yoshida T, Higuchi Y: A case of retroperitoneal schwannoma: diagnostic usefulness of magnetic resonance imaging. Hinyokika Kiyo 2000; 46; 173-175.
- Klein A, D±bska M, Adamus J et al: Mięsak nerwów obwodowych ? neurosarcoma. Pol Tyg Lek 1973; 28; 91-93.
- Angelov L, Davis A, O?Sullivan B et al: Neurogenic sarcomas: experience at the University of Toronto. Neurosurgery 1998; 43 (1): 56-64.
correspondence
Andrzej Paradysz
Katedra i Klinika Urologii ¦AM
ul. 3 Maja 13/15
41-800 Zabrze
tel. (032) 271 65 11
parady@poczta.onet.pl
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