Peritoneal invasion of prostate cancer directly confirmed during robot-assisted radical prostatectomy

IJU Case Reports

article

Takehiro Ohyama¹  Masaki Shimbo¹  Kenji Komatsu¹  Fumiyasu Endo¹  Naoki Kanomata³  Kazunori Hattori¹ 

[1] Department of Urology, St. Luke's International Hospital;Contribution: Supervision;Department of Pathology, St. Luke's International Hospital

关键词: perineal invasion;    prostate cancer;    robot-assisted radical prostatectomy;   

DOI  :  10.1002/iju5.12509

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

Introduction Several studies have been published on direct rectal invasion in patients with advanced metastatic prostate cancer, but few have directly confirmed intraoperative invasion of prostate cancer into the peritoneum. Case presentation We report the case of a 73-year-old man with prostate cancer who exhibited peritoneal invasion during robot-assisted radical prostatectomy. His prostate-specific antigen level fell to 0.38 ng/mL after surgery; he was therefore prescribed radiation and androgen-deprivation therapies that controlled the cancer for more than 1 year. Conclusions We encountered a case showing direct peritoneal invasion of prostate cancer during robot-assisted radical prostatectomy. If invasion of the seminal vesicle is suspected, the vesicorectal fossa should be examined during robot-assisted radical prostatectomy. Preoperative confirmation by diffusion magnetic resonance imaging of the peritoneum is also useful.

【 授权许可】

CC BY|CC BY-NC|CC BY-NC-ND