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Primary Adenocarcinoma of the Seminal Vesicles: A Very Rare Neoplasia Occurring in a 56‐Year‐Old Patient

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Clinical Practice PointsNeoplasms arising from the seminal vesicles are a rare entity; approximately 60 cases have been reported in the literature.The lack of specific symptoms combined with the poor prognosis… Click to show full abstract

Clinical Practice PointsNeoplasms arising from the seminal vesicles are a rare entity; approximately 60 cases have been reported in the literature.The lack of specific symptoms combined with the poor prognosis make early diagnosis both difficult and important.General nonspecific symptoms like frequency, hematuria, hematospermia, dysouria, constipation, intestinal bleeding, and pain in the perineum characterize the disease.Prognosis is considered poor, and almost 95% of the patients usually die during the first 3 years after diagnosis.Results of a digital rectal examination is usually ambiguous.Prostate‐specific antigen is normal but CA‐125 can be elevated; the final diagnosis is usually made by immunohistochemistry.The treatment protocol is usually a combination therapy of a radical surgery depending on the tumor extension (radical prostatectomy, partial cystectomy, or total pelvic extenteration), radiotherapy, and hormone or chemotherapy.We present a case of a 56‐year‐old man with a primary adenocarcinoma of the seminal vesicles.At 2 years after diagnosis, our patient was in perfect clinical condition.

Keywords: seminal vesicles; primary adenocarcinoma; vesicles rare; adenocarcinoma seminal; year old

Journal Title: Clinical Genitourinary Cancer
Year Published: 2017

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