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慢性淋巴细胞白血病(以下简称慢淋)为急性尿潴留的罕见原因,但其对前列腺的浸润却不少见。作者回顾了46例随访7年的男性慢淋患者,并对其中因尿路梗阻而行前列腺切除术的6例患者进行了分析。 6例患者的实验室检查都与慢淋相符,都顺利地进行了经尿道的前列腺切除术(TURP),除1例由于尿路感染,再次导尿外,其余的无术后并发症的发生。前列腺的组织学检查发现这些病人的前列腺良性增生并伴有不同程度成熟的小淋巴细胞浸润。这些小淋巴细胞围绕腺体呈单一形态的浸润并累及间质,加上缺乏其它炎症细胞,表明这些细胞为白血病细胞。
Chronic lymphocytic leukemia (hereinafter referred to as CLL) is a rare cause of acute urinary retention, but its infiltration of the prostate is not uncommon. The authors reviewed 46 male CLL patients who were followed up for 7 years and analyzed 6 of them with prostatectomy due to urinary tract obstruction. 6 patients with laboratory tests are consistent with the slow drench, have undergone transurethral resection of the prostate (TURP), in addition to a case of urinary tract infection, re-catheterization, the rest of the non-occurrence of postoperative complications . Histological examination of the prostate found that these patients benign prostatic hyperplasia accompanied by varying degrees of mature small lymphocyte infiltration. These small lymphocytes infiltrated around the gland in a single pattern and involved stroma, together with the lack of other inflammatory cells, indicating that these cells were leukemic cells.