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

Urology Case Reports

Dr Sunny Nalavenkata¹  Dr Damien Gibson²  Dr James Thompson³  Dr Athos Katelaris³ 

[1] Corresponding author. Department of Urology, St George Hospital, Gray St, Kogarah, 2217, Sydney, Australia.;The University of New South Wales, Sydney, Australia;Department of Urology, St George Hospital, Sydney, Australia;

关键词: Prostate cancer;    Biochemical recurrence;    Brachytherapy;    Local recurrence;    Robotic salvage seminal vesiculectomy;   

DOI  :  

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown