Robotic Salvage Seminal Vesiculectomy for radio-recurrent prostate cancer post LDR brachytherapy following multiple negative trans-perineal biopsies

Multi-parametric Magnetic Resonance Imaging (mp-MRI) and prostate membrane specific antigen positron emission tomography (PSMA-PET) CT scan in prostate cancer has led to enhanced detection of local and metastatic recurrence post-radiotherapy. A 59-year-old man presented with biochemical relapse foll...

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Detalles Bibliográficos
Autores principales: Katelaris, Dr Athos, Gibson, Dr Damien, Nalavenkata, Dr Sunny, Thompson, Dr James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967703/
https://www.ncbi.nlm.nih.gov/pubmed/35368980
http://dx.doi.org/10.1016/j.eucr.2022.102064
Descripción
Sumario:Multi-parametric Magnetic Resonance Imaging (mp-MRI) and prostate membrane specific antigen positron emission tomography (PSMA-PET) CT scan in prostate cancer has led to enhanced detection of local and metastatic recurrence post-radiotherapy. A 59-year-old man presented with biochemical relapse following low dose rate brachytherapy for ISUP 2 T1cN0M0 prostate cancer (PCa). Despite strong biochemical and radiological evidence of radio-recurrent PCa in his right seminal vesicle, serial transperineal biopsies revealed benign tissue. He proceeded to Robot Assisted Salvage Seminal Vesiculectomy (RSSV) as a diagnostic procedure without complication. Histo-pathology confirmed a 23 × 17 × 13mm focus of Gleason 4 + 4 adenocarcinoma in the SV with clear surgical margins.

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