目前,临床上伴有胃转移、腹膜转移和恶性腹水的晚期前列腺癌很少见,且最佳治疗方案尚不清楚.本研究报道了一例伴有膀胱颈受累、盆腔淋巴结浸润的晚期前列腺癌患者,且肿瘤转移到骨、胃及腹膜等部位并伴有恶性腹水.前列腺癌腹膜转移和恶性腹水的预后极差,其主要的治疗方法为症状支持、腹膜穿刺引流、内分泌治疗和化疗.本研究通过报道一例伴有腹膜转移的晚期前列腺癌病例及回顾相关文献,为伴有恶性腹水的转移性前列腺癌临床研究提供参考借鉴.
At present, clinically advanced prostate cancer with gastric metastasis, peritoneal metastasis and malignant ascites is rare, and the optimal treatment is unclear. This study reported a case of advanced prostate cancer with bladder neck involvement, pelvic lymph node invasion, and metastasis to bone, stomach, peritoneum with malignant ascites. The prognosis of prostate cancer with peritoneal metastasis and malignant ascites is extremely poor, and the main treatment methods are symptomatic support, peritoneal puncture and drainage, endocrine therapy and chemotherapy. Herein, through a case report of advanced prostate cancer with peritoneal metastasis and the review of relevant literatures, a case of advanced prostate cancer with peritoneal metastasis was reported and relevant literature was reviewed to provide reference for clinical research of metastatic prostate cancer with malignant ascites.