Single Subcutaneous Prostate Cancer Metastasis Detected by 68Ga-PSMA PET/CT During Early Biochemical Relapse: A Case Report

Calderoni, Letizia; Deliu, Victor Matei; Farolfi, Andrea; Lambertini, Alessandro; Renne, Giuseppe; Lorenzini, Daniele; Cervati, Veronica; Lodi, Filippo; Castellucci, Paolo; Fanti, Stefano

doi:10.1016/j.clgc.2018.11.012

Cited by 5 publications

(10 citation statements)

References 14 publications

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“…In particular PSMA PET/CT was able to show recurrence even with PSA levels of approximately 1 ng/ml. 10,11 In our cases choline PET/CT was performed in all patients and was able to detect port site metastases with PSA ranging from 1.5 to 4.3 ng/ml, but did not reveal peritoneal studding.…”

Section: Discussionmentioning

confidence: 58%

“…Choline or PSMA PET was the investigation of choice for diagnosis in 50% of patients described in the literature (7 of 14). A potential benefit of 68 Ga-PSMA PET-CT was suggested for the early diagnosis of the PSM (PSA 0.9 ng/ml), 10 compared with another report where 11-C choline was negative with PSA 2.23 ng/ml and positive with PSA 10.15 ng/ml. 13 In our experience 11-C choline PET-CT was part of the diagnostic evaluation for all 6 patients.…”

Section: Clinical Presentation and Diagnosismentioning

confidence: 95%

“…6 Two authors reported undetectable PSA after excision of port site metastases but followup was limited at 1 month. 10,13 None of the studies describing surgical excision reported any local recurrence of the tumor. In 2 other reports chemohormonal therapy was used with no signs of recurrence after 24 months.…”

Section: Treatment and Outcomesmentioning

confidence: 99%

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Tumor Seeding after Robot-Assisted Radical Prostatectomy: Literature Review and Experience from a Single Institution

et al. 2020

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Seeding of tumor cells is a rare complication of minimally invasive surgery. We reviewed and improved current knowledge of prostate cancer seeding. Materials and Methods: A literature review was performed using MEDLINEÒ, EmbaseÒ and the Cochrane Library, including cases of peritoneal and port site seeding reported after minimally invasive prostatectomy. In addition, after institutionally approved chart review a descriptive summary of a single institution experience on the topic is provided. Results: The data from 9 reported cases of port site metastases from prostate cancer in the world literature are summarized along with 3 additional cases from our experience. Similarly, 5 cases of peritoneal seeding are reviewed from the literature with the addition of 3 more cases from our institution. Good long-term outcomes are achievable with multimodality and individualized regimens, including seeding directed treatments. Conclusions: Although no definitive recommendation can be made for treatment strategies for these patients, there is a need for awareness and further discussion of this atypical presentation.

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Section: Discussionmentioning

confidence: 58%

Section: Clinical Presentation and Diagnosismentioning

confidence: 95%

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Tumor Seeding after Robot-Assisted Radical Prostatectomy: Literature Review and Experience from a Single Institution

et al. 2020

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“…Recently, due to widespread of robotic surgery for organ-confined PCa treatment, port site recurrence in patients undergoing RALP have been published. Cell spillage and immunosuppression may favor this pattern of recurrence [13].…”

Section: Discussionmentioning

confidence: 99%

Salvage high-dose-rate interstitial brachytherapy for perineal recurrence of prostate cancer after surgery and radiotherapy: a case report

Vavassori

Durante

Augugliaro

et al. 2020

jcb

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Perineal seeding of tumor cells from prostate cancer (PCa) is very rare, and no standard treatment exists for this atypical presentation with no evidence of distant metastases. Local excision or external beam radiotherapy are used as local salvage treatments for such perineal masses, including those occurring after biopsy, surgery, or interstitial brachytherapy. We report on a patient who presented no evidence of disease and no late urinary or gastrointestinal toxicities at 58 months after receiving high-dose-rate brachytherapy (HDR-BT) for perineal recurrence of PCa after radical prostatectomy and salvage external beam radiotherapy. To the best of our knowledge, this is the first case treated with HDR-BT in this scenario.

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“…3 Only eight previous cases reports were identified to demonstrate peritoneal and portsite metastases following RARP. [4][5][6][7][8][9][10] We present a further four cases of peritoneal and portsite metastases following RARP, adding significantly to the published literature in highlighting this unusual occurrence.…”

Section: Introductionmentioning

confidence: 99%

Peritoneal and port-site metastasis following robotic-assisted radical prostatectomy

O'Connor

Timm²,

Chislett³

et al. 2020

CUAJ

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Single Subcutaneous Prostate Cancer Metastasis Detected by 68Ga-PSMA PET/CT During Early Biochemical Relapse: A Case Report

Cited by 5 publications

References 14 publications

Tumor Seeding after Robot-Assisted Radical Prostatectomy: Literature Review and Experience from a Single Institution

Tumor Seeding after Robot-Assisted Radical Prostatectomy: Literature Review and Experience from a Single Institution

Salvage high-dose-rate interstitial brachytherapy for perineal recurrence of prostate cancer after surgery and radiotherapy: a case report

Peritoneal and port-site metastasis following robotic-assisted radical prostatectomy

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