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김일환,이준호,조인래,전준성,노중석,서정욱,박성혜 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2
Primary carcinoma of the seminal vesicle is a very rare neoplasm that can imitate tumors in adjacent organs including bladder. rectal, and most frequently, prostate carcinoma in its clinical presentation. The case was a 41-year-old man with the chief complaint of terminal gross hematuria. He had a history of chronic prostatitis 7 years ago. Ultrasonogram and CT scan showed the mass in the retrovesical region. MRI demonstrated a seminal vesicle mass and reflux up the left dilated ureter. And on cystoscopy the left ureteral orifice as well as the left half side of the trigone were not detected. The right ureteral orifice was normal. After left nephroureterovesiculectomy and radical prostatectomy was performed. renal dysplasia and a mucinous adenocarcinoma of the seminal vesicle were histopathologically confirmed and treated with adjunctive radiotherapy. After operation erectile dysfunction developed and it was controled with intracavernous injection (Caverject®). The patient is well and free of recurrent disease for 33 months following surgery.