Abstract
Recent advances in novel functional imaging techniques such as PSMA PET may now offer the ability to identify small volume metastases which may otherwise go undetected. The treatment of these lesions is controversial, particularly in the oligometastatic state. We report the case of an abdominal wall metastasis detected with PSMA imaging which we treated with surgical excision. This resulted in an undetectable PSA 6 weeks post excision.
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References
De Bruyne P, Schatteman P, De Naeyer G, Carpentier P, Mottrie A (2015) Port site metastasis in prostate cancer. Can Urol Assoc J. 9(5–6):E387
McLoughlin LC Moran D, O’Rourke C, Manecksha RP, Lynch TH (2018) The value of multimodality imaging in the investigation of a PSA recurrence after radical prostatectomy. Ir J Med Sci 187(1):261–268
Vinjamoori AH, Jagannathan JP, Shinagare AB, Taplin ME, Oh WK, Van den Abbeele AD, Ramaiya NH (2012) Atypical metastases from prostate cancer: 10-year experience at a single institution. Am J Roentgenol 199(2):367–372
Nair R, Lamb BW, Geurts N, Alghazo O, Lawrentschuk N, Murphy DG (2017) The role of local therapy for oligometastatic prostate cancer: should we expect a cure? Urol Clin North Am 44(4):623–633
Nguyen PL, Alibhai SM, Basaria S et al (2015) Adverse effects of androgen deprivation therapy and strategies to mitigate them. Eur Urol 67(5):825–836
Dundee P, Gross T, Moran D, Ryan A, Ballok Z, Peters J, Costello AJ (2018) Ga-labeled Prostate-Specific Membrane Antigen Ligand-Positron-Emission Tomography: Still Just the Tip of the Iceberg. Urology. https://doi.org/10.1016/j.urology.2018.06.029
Murphy DG, Kerger M, Crowe H, Peters JS, Costello AJ (2009) Operative details and oncological and functional outcome of robotic-assisted laparoscopic radical prostatectomy. Eur Urol 55(6):1358–1366
Ochoa C, Ramirez A, Varela R et al (2017) Metastasectomy of abdominal wall lesions due to prostate cancer detected through PET/CT gallium 68-PMSA: first case report. Urol Case Rep 12:42–44
Ost P, Reynders D, Decaestecker K et al (2018) Surveillance or metastasis-directed therapy for oligometastatic prostate cancer recurrence: a prospective, randomized, multicenter phase II trial. J Clin Oncol 36:446–453
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Authors D. Moran, T. Gross, D. Gavin, A. J. Costello declare that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. Written informed consent was obtained from the patient for publication of this Case. Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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Moran, D., Gross, T., Gavin, D. et al. Robot-assisted abdominal wall excision of a PSMA-detected prostate cancer metastasis. J Robotic Surg 13, 515–517 (2019). https://doi.org/10.1007/s11701-018-0871-9
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DOI: https://doi.org/10.1007/s11701-018-0871-9