A case of seminal vesicle cyst due to the obstruction of the ejaculatory duct : possible association with prostate cancer

We report a case of a seminal vesicle cyst supposed to be associated with prostate cancer in a 79-year-old Japanese man presenting with urinary retention. A fist-sized soft mass was palpated at the anterior wall of the rectum and serum prostate-specific antigen (PSA) was elevated to 59.8 ng/ml. Tran...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 50(2004), 2 vom: 29. Feb., Seite 123-5
1. Verfasser: Kijima, Toshiki (VerfasserIn)
Weitere Verfasser: Okuno, Tetsuo, Sakai, Yasuyuki, Wakui, Mamoru
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 2004
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports English Abstract Journal Article Anilides Biomarkers, Tumor Nitriles Tosyl Compounds Goserelin 0F65R8P09N bicalutamide mehr... A0Z3NAU9DP Prostate-Specific Antigen EC 3.4.21.77
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520 |a We report a case of a seminal vesicle cyst supposed to be associated with prostate cancer in a 79-year-old Japanese man presenting with urinary retention. A fist-sized soft mass was palpated at the anterior wall of the rectum and serum prostate-specific antigen (PSA) was elevated to 59.8 ng/ml. Transrectal ultrasonography, computed tomography and magnetic resonance imaging revealed a retrovesical cystic mass measuring 7 cm in diameter and the absence of bilateral seminal vesicles. On vasography the lumen of the cystic lesion was visualized immediately, but the radiopaque fluid did not flow into the urethra. Transperineal prostate biopsy revealed moderately differentiated adenocarcinoma and puncture of the cyst revealed bloody fluid including sperm with a low PSA level. These findings strongly suggested that the mass was a seminal vesicle cyst caused by ejaculatory duct obstruction associated with prostate cancer. He has received endocrine therapy with goserelin acetate and bicalutamide for 6 months with no enlargement of the cystic lesion 
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