Metastasectomy for rectal wall seeding of prostate adenocarcinoma after transrectal prostate biopsy.

Autor: DiLizia EM; Department of Urology, MedStar Georgetown University Hospital, Washington, DC, USA., Ahdoot M; Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA., Daneshvar M; Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA., Gomella PT; Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA., Yerram NK; Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA., Pinto PA; Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Jazyk: angličtina
Zdroj: Urology case reports [Urol Case Rep] 2020 Oct 08; Vol. 34, pp. 101445. Date of Electronic Publication: 2020 Oct 08 (Print Publication: 2021).
DOI: 10.1016/j.eucr.2020.101445
Abstrakt: Definitive treatment for local prostate cancer recurrence remains controversial. Early recurrences are often from positive surgical margins or nodal metastases, however other explanations should be considered. We present a case of a 79 year-old male with localized prostate cancer and early biochemical persistence after margin-negative robotic-assisted radical prostatectomy. Workup demonstrated a 0.9 cm rectal mass without nodal or distant metastasis, and biopsy revealed prostate adenocarcinoma. A subsequent transanal excision was performed. Post-operatively, his PSA dropped to 0.02 ng/mL. We present a rare case of prostate adenocarcinoma seeding after transrectal prostate biopsy and a review of the literature.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Databáze: MEDLINE