Thick gelatinous substance in urine

Introduction Seminal vesicle malignancies are rare. Because bladder cancer in situ, prostate cancer, rectal cancer and lymphoma are easy to invade and seminal vesicles, it is clinically difficult to identify whether the tumor originated in the seminal vesicle. Histologically, the primary seminal vesicle malignant tumors are adenocarcinoma and sarcoma. Clinical symptoms of blood, intermittent hematuria, frequent urination, thick urine in the urine. When the mass is large, it can cause difficulty in urinating and even urinary retention. Late in the urgency and secondary epididymitis. Blood in the stool suggests that the tumor has invaded the rectum.

Cause

There is no complete capsule in seminal vesicle cancer, mainly invading the prostate and bladder, but rarely involving the rectum. Local lymph node metastasis is the main cause, and distant metastasis can occur in the late stage. Bone metastases are often characterized by osteolytic changes. Clinical symptoms of blood, intermittent hematuria, frequent urination, thick urine in the urine. When the mass is large, it can cause difficulty in urinating and even urinary retention. Late in the urgency and secondary epididymitis. Blood in the stool suggests that the tumor has invaded the rectum.

an examination

Related inspection

Digital rectal immunoglobulin light chain

1. Clinical symptoms: blood essence, intermittent hematuria, frequent urination, and thick gelatinous substances in urine. When the mass is large, it can cause difficulty in urinating and even urinary retention. Late in the urgency and secondary epididymitis. Blood in the stool suggests that the tumor has invaded the rectum.

2. Rectal examination: The irregular spindle-shaped lumps can be touched above the prostate, which is cystic or solid, sometimes fused with the prostate and the boundary is unclear.

3. Rectal examination: The irregular spindle-shaped lumps can be touched above the prostate, which is cystic or solid, sometimes fused with the prostate and the boundary is unclear.

4. Laboratory examination: tumor markers: prostatic specific antigen (PSA), prostatic acid phosphatase (PAP) and carcinoembryonic antigen CEA negative, cancer antigen 125 (Carbohytrate antigen125, CA- 125) Elevation may indicate seminal vesicle cancer.

5. The criteria for diagnosing seminal vesicle tumors are:

1 The tumor must be confined to the seminal vesicle.

2 no other parts of the primary tumor.

3 pathologically a papillary adenoma, if it is an undifferentiated adenoma, mucus should be formed.

Differential diagnosis

1. Prostate cancer: digital rectal examination (DRE) shows that the prostate is hard as a stone or the prostate has an induration, and the blood PSA is elevated. Prostate biopsy can help diagnose, immunohistochemistry shows PSA positive.

2. Colon and rectal cancer: changes in bowel habits and bloody stools, elevated blood CEA, colonic colonoscopy, intestinal biopsy, pathological examination can confirm the diagnosis.

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