RETROVESICAL MASS IN MEN
| Autor: | S. E. Dahms, M. Hohenfellner, Joachim W. Thüroff, Jurgen F. Linn, Christian Eggersmann, Gerald Haupt |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Leiomyosarcoma
Adult Male Pathology medicine.medical_specialty Adolescent Urology Urinary Bladder Diagnosis Differential Seminal vesicle medicine Humans Cyst Child Aged Retrospective Studies Hemangiopericytoma Myxoid liposarcoma business.industry Decision Trees Middle Aged medicine.disease Prostatic utricle Empyema medicine.anatomical_structure Child Preschool Differential diagnosis Genital Diseases Male business |
| Zdroj: | The Journal of Urology. :1244-1248 |
| ISSN: | 0022-5347 |
| Popis: | We review the differential diagnosis and treatment of retrovesical masses in men.During the last 8 years 21 male patients 3 to 79 years old (mean age 47.1) presented with symptoms or signs of a retrovesical mass. Clinical features and diagnostic findings were reviewed, and related to surgical and histopathological findings.The retrovesical masses included prostatic utricle cyst in 3 cases, prostatic abscess in 1, seminal vesicle hydrops in 6, seminal vesicle cyst in 2, seminal vesicle empyema in 3, large ectopic ureterocele in 1, myxoid liposarcoma in 1, malignant fibrous histiocytoma in 1, fibrous fossa obturatoria cyst in 1, hemangiopericytoma in 1 and leiomyosarcoma in 1. In 17 patients various symptoms were seen and in 4 the mass was incidentally detected. A mass was palpable on digital rectal examination in 16 cases and visible on sonography in 20. For a cystic mass medial location relative to the bladder neck was suggestive of prostatic abscess or utricle cyst, while lateral location was suggestive of seminal vesicle cyst/hydrops or empyema, ectopic ureter or ureterocele. In 6 patients diagnosis was established only by exploratory laparotomy and histopathological examination.Digital rectal examination and sonography reliably detect a retrovesical mass. Nevertheless, clinical signs and median or lateral location relative to the bladder neck on ultrasound are diagnostic only for cystic lesions. Computerized tomography and magnetic resonance imaging are useful for staging malignant tumors. However, needle or open biopsy is required in most cases to establish a histopathological diagnosis. Exploratory laparotomy and histopathological examination are the procedures of choice when other findings are equivocal. |
| Databáze: | OpenAIRE |
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