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[A case of seminal vesicle cyst due to the obstruction of the ejaculatory duct: possible association with prostate cancer].
Hinyokika Kiyo. 2004 Feb; 50(2):123-5.HK

Abstract

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.

Authors+Show Affiliations

Kijima T
Department of Urology, Toride Kyodo General Hospital.
Okuno T
No affiliation info available
Sakai Y
No affiliation info available
Wakui M
No affiliation info available

MeSH

AdenocarcinomaAgedAnilidesAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCystsDiagnostic ImagingEjaculatory DuctsGenital Diseases, MaleGoserelinHumansMaleNitrilesProstate-Specific AntigenProstatic NeoplasmsSeminal VesiclesTosyl Compounds

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

15101171

Citation

Kijima, Toshiki, et al. "[A Case of Seminal Vesicle Cyst Due to the Obstruction of the Ejaculatory Duct: Possible Association With Prostate Cancer]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 50, no. 2, 2004, pp. 123-5.
Kijima T, Okuno T, Sakai Y, et al. [A case of seminal vesicle cyst due to the obstruction of the ejaculatory duct: possible association with prostate cancer]. Hinyokika Kiyo. 2004;50(2):123-5.
Kijima, T., Okuno, T., Sakai, Y., & Wakui, M. (2004). [A case of seminal vesicle cyst due to the obstruction of the ejaculatory duct: possible association with prostate cancer]. Hinyokika Kiyo. Acta Urologica Japonica, 50(2), 123-5.
Kijima T, et al. [A Case of Seminal Vesicle Cyst Due to the Obstruction of the Ejaculatory Duct: Possible Association With Prostate Cancer]. Hinyokika Kiyo. 2004;50(2):123-5. PubMed PMID: 15101171.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of seminal vesicle cyst due to the obstruction of the ejaculatory duct: possible association with prostate cancer]. AU - Kijima,Toshiki, AU - Okuno,Tetsuo, AU - Sakai,Yasuyuki, AU - Wakui,Mamoru, PY - 2004/4/23/pubmed PY - 2004/6/25/medline PY - 2004/4/23/entrez SP - 123 EP - 5 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 50 IS - 2 N2 - 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. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/15101171/[A_case_of_seminal_vesicle_cyst_due_to_the_obstruction_of_the_ejaculatory_duct:_possible_association_with_prostate_cancer]_ DB - PRIME DP - Unbound Medicine ER -