381
2855579226014562121180
KAZUISTIKY4325207016976175264361404481560603687776
Ces36757936014570127174
Urol38747936014578115180208
2020;41077936014562121178237261
24(4):43947936014561118151208238260
284–28846807936014561121184247301361422
The624898013151109160
prognosis80189801316191145203259315353372408
and1227898013150105163
therapy141289801312985136165213270315
of174589801315884
these185189801313086137175226
diseases209489801316079116167213251301339
is245589801311956
how‑2528898013159115191222
ever6241048013154102153183
significantly829104801314868126183203227254302351407438459506
different.1363104801316181109139190220271328358376
We17681048013191140
present1937104801316192143182234291321
a22811048013157
case23601048013156105143195
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a26931048013157
54-year-old6241198013154105137183233279308334393414471
man11141198013190137193
who13261198013180136192
was15371198013180127165
found1724119801312681137193250
to1996119801313185
have21011198013159105151200
a23211198013150
parapro‑23901198013161109138186243273327360
static624134801314172119148168213
lesionwith858134801311767105123178233327347378433
lowprostate1312134801311772147222252305342374421450498
specific1825134801314197148195214237263309
antigen21491348013149104133153209258313
during24781348013159113141161216272
a6241498013150
rectal690149801313281128162209229
examination.935149801315398145232251307353383402458514531
Transrectal1481149801315174121177214242291338372419439
prostate1936149801316190144182214261291340
biopsywas2292149801316080136193231278373420458
performed,6241648013161113142172227256344395453469
followed1115164801313085105125181257307365
by15031648013160105
pelvic16311648013161113133180201247
magnetic19011648013190136194249300331351397
resonance2320164801313383121177233279335381430
imaging6241798013123109156213233288346
and9921798013150106163
rectoscopy.1177179801313383130164218255302356414459470
None16701798013170126182233
of1926179801315985
the2033179801313590141
examinations2197179801315399146233252308354384404460516553
confirmed6241948013150106164188215245336388448
the1095194801314199151
presence1275194801316293144184236294342392
of1696194801316088
malignant18131948013192140161181240297345403434
cells22701948013156106128148186
or2485194801316091
the2599194801314199151
suspicion624209801314194130186206251270324379
of1018209801315884
malignancy.11172098013189134154172228283328383428476487
The16192098013150107157
is1797209801311652
asymptomatic1864209801315086132219275305358444489519538583
patient24622098013160107136155204259288
was6242248013179127164
followed810224801312984105125180257307365
up11972248013158115
by13352248013160105
his1462224801315979116
outpatient16002248013158114145203251281301351407436
urologist2058224801315988142163219277297333366
for2446224801312984113
two25812248013135114169
years.624239801314898144173212229
With8712398013190111142198
the1091239801313085136
development12452398013160110157207227283341428479535564
of1827239801315985
symptoms1929239801314188176234264318405443
a23892398013150
control24572398013149102159188218272293
MRI6242548013186138159
of810254801315985
the917254801313995146
pelvis10902548013161112133180200237
was13542548013180127165
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with1959254801317999131186
the2167254801314095146
finding2335254801313259114171191246303
of2666254801315884
growth624269801316191147225260318
progression971269801316192148207237288327366386443501
of1500269801316087
the1610269801314198150
lesion1783269801313082121141198255
with20672698013181102134192
central22812698013157107164194225274295
ne‑26052698013160112145
crotization624284801314977130160179220268297316371426
andwith10652848013149104160254274304359
suspicion1439284801314194130186206251270325380
of1834284801315883
malignant19332848013189134154173228283329383412
character,23602848013149103149177224270303351379390
which6242998013180138158205261
already908299801315677106156203261308
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the1713299801314197149
prostate1891299801316192147185218267297347
and22602998013157113172
part24602998013162110140175
of2664299801315986
the624314801313490141
urethra.785314801315887136167223252300317
For11213148013151106136
the1278314801313288139
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described17923148013160110148195224244302354412
above22233148013150108165211261
pelvic25033148013161113133180201247
revision624329801313282128149186205260317
was9593298013179127164
indicated1145329801312075132152198245275324382
with1546329801317999130186
an17513298013149105
eventual18743298013154100150206235291337357
radical2253329801312977134154200247267
pros‑2538329801316191145183212
tatectomy.624344801313481110159205239292379422433
Histological1073344801316988124156210230285343362408455475
examination1563344801315398145231250305351381400455511
of2089344801315984
the2189344801313489139
specimen2344344801314197148195215300351406
from624359801312960114201
robotic847359801312983142199229249295
assisted1160359801315088125144181213262320
radical1502359801312977134154200247267
prostatectomy1788359801316090144182215262292341388422476563607
showed2414359801314196152228278336
atypical624374801315182132192213260309330
smooth9763748013148136194252283340
muscle13453748013191148186233254306
neoplasia16803748013160112170229251298337357404
of2113374801315986
the2222374801314198150
prostate2401374801316292148187220268299349
of624389801315985
uncertain7333898013159114161209238273321340396
malignant11533898013190137157176233288335391420
potential15983898013160117147196252282301347367
–19903898013155
leiomyoma206738980131267696151239283338425472
with25633898013180100131187
borderline6244048013161118148203254283304323379429
changes10734048013149105151207264315353
with14454048013180100131187
leiomyosarcoma.165440480131217291147234278333371419448493546634681697
KEY6254334014770134206
WORDS85843340147105189260345408
Leiomyoma,6244498013149100122179268313370459507525
leiomyosarcoma,117344980131197193150239284341380430461507563651700718
prostate1911449801316092148187221270302352
carcinoma.2283449801314998129175197254311400448467
………62447840147120240360
ÚVOD2978858018197183286388
Benigní29761198013156107162182239294314
hyperplazie33111198013159103162214243301322369411431482
prostaty3814119801316191145183215263293342
a41771198013150
adenokarcinom42491198013150107158213269313362391436455511567654
pro‑4925119801316090144177
staty2976134801314174121152201
jsou3199134801312966123179
častá34001348013155103140173221
onemocnění36481348013159116167254311358414465521541
mužů,42161348013191146188244260
u45041348013158
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jsou4923134801313067123179
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a34521498013149
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postupy40291498013159115151182236292336
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definovány.46391498013159108131157211265310356410453463
Jinak2976164801313858113159203
je3201164801312171
tomu3294164801313285173228
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mezenchymálních36191648013190141184233289335390434522569589644664710765
nádorů,44041648013159105162218248304319
jako4745164801312168111165
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leiomyoma297617980131237393147234278332419484
leiomyosarkomprostaty.348117980131176887142228272326364411440483537624700729783820852899929977988
Ty4485179801315089
jsou4595179801311854110165
extrém‑4775179801315398132161210296327
ně29761948013159110
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léčba3757194801312980127185233
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je2976209801312474
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s43812098013144
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růs‑4944209801313692129158
tem,2976224801313482168183
dlouhodobě3175224801315979134189244300357412470521
bez37112248013161112154
příznaků,3880224801316090109150206252295350365
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pouhého35512398013162120177234285343400
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Leiomyosarkom44212398013156107127184273318374412461491536592681
na29762548013159106
druhé3105254801316089145201251
straně3378254801314375105152208259
je3659254801312575
vysoce3758254801314999138193241289
agresivní40712548013150107136185223243290346366
zhoubný44592548013146102158214271327371
nádor48542548013159105163218248
s29762698013141
nepříznivou30452698013159110168198218260317336384439495
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nutností42092698013159114146202258296329349
multimodál‑45862698013190145165197217303360418465485516
ní2976284801315978
terapie3076284801314088118165223243293
(radikální3391284801313561109166185228277297352372
odstranění37902848013158117154186216263319370425444
orgánu,4262284801315888144190246301316
radioterapie4600284801313886143163218248297326374431452502
a29762998013150
chemoterapie).30492998013155112163251308339388418466525545596620633
Právě3705299801316190139185235
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tak4397299801314189133
rozdílné4552299801313994135191211234290342
pro‑4922299801316192147180
gnózy29763148013160116173214264
je3262314801313081
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správně37243148013147105135183229287338
odlišit40903148013159118138158195214246
tato4358314801314088118173
onemocnění45593148013159116167255312360416467523543
a29763298013150
vybrat3046329801314999158187235265
optimální33313298013158116147167253300320375395
typ3748329801313180139
léčby.3909329801312172119176221232
KAZUISTIKA29783708018181180268365402477555593677776
Článek2976404801316386135194248294
popisuje32934048013161121182206246303326380
případ3695404801316194117178228289
padesátičtyřletého40064048013161112172226267319352375424461513547570624658710769828
muže48574048013190148193245
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rodinnou3491419801314299161184243301361420
anamnézou,39364198013159118168258317372417475534553
který4514419801315694146179232
byl47714198013170118143
sle‑4939419801315073127163
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čtyři3331434801315997150184208
roky35654348013142100148201
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paraprostatický44254498013161112144195256288346387422473506529578625677
útvar2976464801315791143192223
nejasné32204648013158111133181220277330
etiologie.3571464801315285107164187245304326378396
Pacient39884648013154101150172224281313
je4325464801312072
léčen4421464801312072121171229
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arteriální4732464801314980117167199221269291348370
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operace42254798013168129185217269319371
v46214798013159
minulos‑47154798013190113172231254313355387
Obr.6277189013779143183204
1.851718901376183
Vpravo9847195013154104133182225276
při1277719501315584103
apexu13977195013155108152196248
prostaty1662719501315684135168197247275320
zobrazeno2000719501314393146175224264306360412
ložisko2429719501312274114132165205256
velikosti2702719501314789108127169220253282301
373020719501315193
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MR,39717195013183133151
vlevo4139719501314766109153204
koronární4360719501314697125176230281310363382
a47597195013156
vpravo4832719501314699127176220270
sagitální627734501313890142161190239259312331
řez973734501313273115
v11047345013146
T21165734501314997
váženémobraze)1278734501314697137179232276360431483512561602644668
Fig.627748901375884147173
1.819748901376183
On9527495013171126
the1095749501313184127
right1240749501313049101155182
at1438749501315584
the1540749501313083127
apex16837495013155108152196
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image,44257495013121105157209253269
on47107495013155109
the4836749501313184127
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a6277645013155
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section2087764501313880123154173225279
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image)30387645013120104156208252276