Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the Rectum

Autor: Yuki Katsumata, Takeshi Suto, Kotaro Otake, Shinta Suenaga, Masato Konno, Kento Morozumi, Senji Hoshi, Kenji Numahata
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Case Reports in Oncology, Vol 15, Iss 3, Pp 1027-1033 (2022)
Druh dokumentu: article
ISSN: 1662-6575
00052590
DOI: 10.1159/000525900
Popis: A 61-year-old man tested positive for occult urinary and fecal occult blood and was diagnosed with invasive prostate cancer extensively infiltrating the rectum. After scrutiny, he was diagnosed with cT4N1M0 prostate cancer, and androgen deprivation therapy (ADT) was initiated with a gonadotropin-releasing hormone antagonist. A prostatic rectal resection was performed 6 months after ADT began. The bladder and urethra were anastomosed, the anus was preserved intact, and the sigmoid colon was anastomosed to the anus. A temporary ileostomy was constructed to allow eating and to prevent fistula formation. The ileostomy was closed 5 months post-operation as the patient wanted to live without a stoma. Although the patient died of other disease factors, he remained untreated for 1 year and 7 months post-operation, and his symptoms and disease control were well supported. We report that we were able to perform stoma-free surgical treatment for prostate cancer extensively infiltrating rectum.
Databáze: Directory of Open Access Journals
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