Hepatic and skin metastases after laparoscopic radical prostatectomy for prostate cancer.
Between 2004 and 2006, 50 radical prostatectomies were performed in our department, 46 of them through a laparoscopic approach addressed to early stage cancer (T1a,b,c and T2a,b,c N0 M0). We present the case of a 63 year old patient, who was initially diagnosed with prostate cancer in T1bN0M0 stage, Gleason score 8 and later presented atypical hepatic and trocar site metastases. This particular evolution of the case can be explained by the high value of the Gleason score and by the extension into microvessels observed on the sample prelevated by prostatectomy. The rarity of this atypical metastases and its association, the diagnostic and therapy problems are the reasons for the detailed presentation of this case.
Coman
Ioan
I
Department of Urology, Municipal Clinical Hospital, Str. Tabacarilor 3, Cluj-Napoca, Romania. jcoman@yahoo.com
Crişan
Nicolae
N
Petrut
Bogdan
B
Bungărdean
Cătălina
C
Cristea
Tudor
T
Crişan
Dana
D
D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary / Q000601:surgery; D002278:Carcinoma in Situ / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011467:Prostate / Q000473:pathology; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery; D012878:Skin Neoplasms / Q000556:secondary*; D013525:Surgical Instruments; D013997:Time Factors; D020728:Transurethral Resection of Prostate; D014463:Ultrasonography