SURGICAL TREATMENT FOR VERY HIGH-RISK LOCALLY RECURRENT PROSTATE CANCER AFTER RADICAL RETROPUBIC PROSTATECTOMY: A CLINICAL CASE
https://doi.org/10.17650/1726-9776-2014-10-1-88-90
Abstract
Locally recurrent prostate cancer (PC) in the bladder neck can substantially worsen quality of life in patients and hinder further treatment when castration-resistant PC develops. The paper describes a clinical case of very high-risk PC in a 55-year-old patient in whom radical cystectomy (RCE) with removal of metastases in the bladder neck and the Bricker ileal conduit were performed for a local recurrence after radical retropubic prostatectomy (RPE). It gives the data of preoperative examination, the technical features of the primary operation RPE, the data of postoperative observation, the technical aspects and outcomes of еру surgery for a local recurrence, as well as the results of a 1.5-year follow-up after RCE.
About the Authors
E. I. VeliyevRussian Federation
E. A. Sokolov
Russian Federation
A. B. Bogdanov
Russian Federation
References
1. Johnstone P. A., Ward K. C., Goodman M. et al. Radical prostatectomy for clinical T4 prostate cancer. Cancer 2006;106:2603–9.
2. Engel J., Bastian P. J., Baur H. et al. Survival benefit of radical prostatectomy in lymph node-positive patients with prostate cancer. EurUrol 2010;57 (5):754–61.
3. Steuber T., Budдus L., Walz J. et al. Radical prostatectomy improves progression-free and cancerspecific survival in men with lymph node positive prostate cancer in the prostate-specific antigen era: a confirmatory study. BJU Int 2011;107 (11):1755–61.
4. Spahn M., Joniau S., Abdollah F. et al. Outcome of multimodality treatment of cT4 very high-risk prostate cancer with radical cystectomy as initial step: A multi-institutional outcome study of 62 patients. Eur Urol Suppl – February 2012;11. Issue 1, page e362.
5. Leibovici D., Kamat A. M., Pettaway C. et al. Cystoprostatectomy for effective palliation of symptomatic bladder neck invasion by prostate cancer. JUrol 2005; 174:2186–90.
Review
For citations:
Veliyev E.I., Sokolov E.A., Bogdanov A.B. SURGICAL TREATMENT FOR VERY HIGH-RISK LOCALLY RECURRENT PROSTATE CANCER AFTER RADICAL RETROPUBIC PROSTATECTOMY: A CLINICAL CASE. Cancer Urology. 2014;10(1):88-90. (In Russ.) https://doi.org/10.17650/1726-9776-2014-10-1-88-90