Implantation metastasis of prostate cancer in a suprapubic cystostomy tube needle tract.
A 64-year-old male patient with a serum PSA value of 51.91 ng ml(-1) and an magnetic resonance imaging scan suggestive of prostate cancer was admitted with bilateral hydronephrosis and anemia. A suprapubic cystostomy had been inserted 6 months earlier, owing to voiding difficulties. The patient was found to have huge multiple bladder stones and a massively thickened bladder wall. A sectio alta with bladder stone removal and bilateral ureteral stenting was performed. Histopathological examination revealed the growth of prostate cancer cells in the cystostomy tube needle tract.
Horn
T
T
Department of Urology, Klinikum rechts der Isar, Munich, Germany. t.horn@lrz.tum.de
Seidl
S
S
Gschwend
J E
JE
Kübler
H
H
D003559:Cystostomy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009366:Neoplasm Seeding; D017430:Prostate-Specific Antigen / Q000097:blood; D011471:Prostatic Neoplasms / Q000473:pathology*; D014463:Ultrasonography; D001744:Urinary Bladder Calculi / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000473:pathology*
D017430:Prostate-Specific Antigen