First case of peritoneal seeding of prostate cancer during robot-assisted laparoscopic radical prostatectomy.
Peritoneal seeding with no further metastases of prostate cancer is very rare.  To the best of our knowledge, there are only three cases reported in the available literature.  There has not yet been a report of a patient undergoing robot-assisted laparoscopic radical prostatectomy (RALRP) that might have resulted in peritoneal seeding.  We describe a patient who presented with a prostate-specific antigen (PSA) recurrence and who was found to have a solitary metastasis on the liver, 2 years after RALRP. The patient underwent open excision of the mass, which was densely adherent to the liver.  Pathologic examination revealed metastatic adenocarcinoma, which stained positive for PSA.  Our patient represents an unusual case of a surgically documented peritoneal seeding of prostate adenocarcinoma during RALRP.
Department of Urology, Chonbuk National University Medical School, Jeonju, Korea.
Yu Seob
YS
Shin
A Ram
AR
Doo
Myung Ki
MK
Kim
Young Beom
YB
Jeong
Hyung Jin
HJ
Kim
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000368:Aged; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000556:secondary*; D008297:Male; D009366:Neoplasm Seeding; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*; D012371:Robotics