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1例巨大前列腺神经内分泌癌患者应用紫杉醇+卡铂方案全身化疗2个周期,CT检查可见前列腺肿瘤几乎完全消失。总结认为前列腺神经内分泌癌常不伴有前列腺特异性抗原(PSA)升高,对内分泌治疗无效;结合病理光镜及免疫组化法作NSE、Syn、CgA染色可明确诊断,有条件的医院可进一步施用电镜检查。采用紫杉醇+卡铂化疗有效。
One case of giant prostate neuroendocrine cancer patients with paclitaxel + carboplatin chemotherapy two cycles of chemotherapy, CT showed that prostate cancer almost completely disappeared. Conclusions that prostate neuroendocrine cancer is often not associated with elevated prostate-specific antigen (PSA), endocrine therapy is invalid; combined with pathological light microscopy and immunohistochemistry for NSE, Syn, CgA staining can confirm the diagnosis of conditional hospital Further application of electron microscopy. Paclitaxel + carboplatin chemotherapy.