Recidiva local en cáncer de próstata por siembra durante prostatectomía radical retropúbica: a propósito de un caso

Q4 Medicine
O. González García, F. Jiménez Leiro, J.A. Valero Puerta, A.C. Valladares Ferreiro
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引用次数: 0

Abstract

A 67-year-old asymptomatic man had a slightly elevated prostate-specific antigen level 30 months after undergoing radical retropubic prostatectomy due to T1c adenocarcinoma of the prostate, with a Gleason score of 5. Physical examination only revealed a subcutaneous, infraumbilical, painless nodule of 3 cm coinciding with the incisional area of the abovementioned intervention. Computed axial tomography scan with contrast medium confirmed that finding, as well as the absence of suspicious adenopathies and other tumor foci. Local biopsy was performed, confirming the diagnosis of prostate cancer recurrence and the mass was completely excised.

Even when dealing with a tumor of slow growth and low Gleason score, the possibility of tumor cell seeding during surgery cannot be ignored. Therefore the basic principles of oncologic surgery must be strictly followed to optimally reduce this possibility.

根治性前列腺后根治性切除术中种子前列腺癌局部复发:个案综述
一名67岁无症状男性,因T1c前列腺腺癌行根治性耻骨后前列腺切除术30个月后,前列腺特异性抗原水平略有升高,Gleason评分为5。体格检查仅发现一个3厘米的皮下、脐下无痛结节,与上述介入手术的切口区域一致。计算机轴位断层扫描与造影剂证实了这一发现,以及没有可疑的腺病变和其他肿瘤灶。行局部活检,确诊前列腺癌复发,肿块完全切除。即使对于生长缓慢、Gleason评分较低的肿瘤,术中肿瘤细胞播散的可能性也不容忽视。因此,必须严格遵循肿瘤手术的基本原则,以最大限度地减少这种可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revista mexicana de urologia
Revista mexicana de urologia Medicine-Urology
CiteScore
0.20
自引率
0.00%
发文量
49
期刊介绍: Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.
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