Successful Salvage Robotic-Assisted Radical Prostatectomy After External Beam Radiotherapy Failure

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• 作者：Karim Jamal ; Ben Challacombe ; Oussama Elhage ; Rick Popert ; Roger Kirby ; Prokar Dasgupta
• 刊名：Urology
• 出版年：2008
• 出版时间：December 2008
• 年：2008
• 卷：72
• 期：6
• 页码：1356-1358
• 全文大小：305 K

文摘

We describe the first case of salvage robotic-assisted radical prostatectomy for local recurrence after external beam radiotherapy. A 50-year-old man initially underwent combined external beam radiotherapy and hormonal treatment for Stage T2a prostate adenocarcinoma. The prostate-specific antigen level was 10.5 ng/mL, and the Gleason score was 3+3. Two years later, he developed biopsy-proven recurrent disease. He underwent salvage robotic-assisted radical prostatectomy. The patient was discharged on day 1 postoperatively. The histologic analysis revealed an organ-confined tumor. His prostate-specific antigen at 3 months was <0.03 ng/mL, and he was continent. Salvage robotic-assisted radical prostatectomy is a safe and technically feasible salvage treatment for prostate cancer for which primary radiotherapy has failed.