Isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapy

Introduction Primary or metastatic urethral tumors are extremely rare. However, treatment strategies differ between primary and metastatic tumors. Therefore, establishing an accurate diagnosis is critically needed for initiating timely and appropriate therapy. Case presentation We describe the case...

Full description

Bibliographic Details
Main Authors: Shinnosuke Fujiwara, Masaru Ishida, Eri Arai, Yuto Baba, Tadatsugu Anno, Hiroaki Kobayashi, Yasumasa Miyazaki
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12394
_version_ 1819172675096936448
author Shinnosuke Fujiwara
Masaru Ishida
Eri Arai
Yuto Baba
Tadatsugu Anno
Hiroaki Kobayashi
Yasumasa Miyazaki
author_facet Shinnosuke Fujiwara
Masaru Ishida
Eri Arai
Yuto Baba
Tadatsugu Anno
Hiroaki Kobayashi
Yasumasa Miyazaki
author_sort Shinnosuke Fujiwara
collection DOAJ
description Introduction Primary or metastatic urethral tumors are extremely rare. However, treatment strategies differ between primary and metastatic tumors. Therefore, establishing an accurate diagnosis is critically needed for initiating timely and appropriate therapy. Case presentation We describe the case of a 79‐year‐old man with prostate cancer treated with radiotherapy and androgen deprivation therapy. He presented with macroscopic hematuria as a symptom of anterior urethral tumor at follow‐up. Endoscopic tumor resection was performed. Hematoxylin and eosin staining showed adenocarcinoma component. Immunohistochemical staining revealed presence of metastatic prostate cancer to the urethra. Conclusion Regarding urethral tumors diagnosis, urologists should consider the possibility of metastasis from prostate cancer and perform immunohistochemical examination for establishing accurate diagnosis. Furthermore, if androgen deprivation therapy fails to suppress symptoms, radiotherapy or urethrectomy might be considered.
first_indexed 2024-12-22T20:10:57Z
format Article
id doaj.art-1c192788118a41f19b4872ba29fd0fc0
institution Directory Open Access Journal
issn 2577-171X
language English
last_indexed 2024-12-22T20:10:57Z
publishDate 2022-01-01
publisher Wiley
record_format Article
series IJU Case Reports
spelling doaj.art-1c192788118a41f19b4872ba29fd0fc02022-12-21T18:14:02ZengWileyIJU Case Reports2577-171X2022-01-0151586110.1002/iju5.12394Isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapyShinnosuke Fujiwara0Masaru Ishida1Eri Arai2Yuto Baba3Tadatsugu Anno4Hiroaki Kobayashi5Yasumasa Miyazaki6Department of Urology Saiseikai Yokohamashi Tobu Hospital KanagawaJapanDepartment of Urology Saiseikai Yokohamashi Tobu Hospital KanagawaJapanDepartment of Pathology Keio University School of Medicine Tokyo JapanDepartment of Urology Saiseikai Yokohamashi Tobu Hospital KanagawaJapanDepartment of Urology Saiseikai Yokohamashi Tobu Hospital KanagawaJapanDepartment of Urology Saiseikai Yokohamashi Tobu Hospital KanagawaJapanDepartment of Urology Saiseikai Yokohamashi Tobu Hospital KanagawaJapanIntroduction Primary or metastatic urethral tumors are extremely rare. However, treatment strategies differ between primary and metastatic tumors. Therefore, establishing an accurate diagnosis is critically needed for initiating timely and appropriate therapy. Case presentation We describe the case of a 79‐year‐old man with prostate cancer treated with radiotherapy and androgen deprivation therapy. He presented with macroscopic hematuria as a symptom of anterior urethral tumor at follow‐up. Endoscopic tumor resection was performed. Hematoxylin and eosin staining showed adenocarcinoma component. Immunohistochemical staining revealed presence of metastatic prostate cancer to the urethra. Conclusion Regarding urethral tumors diagnosis, urologists should consider the possibility of metastasis from prostate cancer and perform immunohistochemical examination for establishing accurate diagnosis. Furthermore, if androgen deprivation therapy fails to suppress symptoms, radiotherapy or urethrectomy might be considered.https://doi.org/10.1002/iju5.12394adenocarcinomaandrogen antagonistslocal neoplasms recurrenceprostatic neoplasmsurethra
spellingShingle Shinnosuke Fujiwara
Masaru Ishida
Eri Arai
Yuto Baba
Tadatsugu Anno
Hiroaki Kobayashi
Yasumasa Miyazaki
Isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapy
IJU Case Reports
adenocarcinoma
androgen antagonists
local neoplasms recurrence
prostatic neoplasms
urethra
title Isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapy
title_full Isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapy
title_fullStr Isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapy
title_full_unstemmed Isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapy
title_short Isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapy
title_sort isolated recurrence of prostate cancer to the anterior urethra 5 years after radiation therapy
topic adenocarcinoma
androgen antagonists
local neoplasms recurrence
prostatic neoplasms
urethra
url https://doi.org/10.1002/iju5.12394
work_keys_str_mv AT shinnosukefujiwara isolatedrecurrenceofprostatecancertotheanteriorurethra5yearsafterradiationtherapy
AT masaruishida isolatedrecurrenceofprostatecancertotheanteriorurethra5yearsafterradiationtherapy
AT eriarai isolatedrecurrenceofprostatecancertotheanteriorurethra5yearsafterradiationtherapy
AT yutobaba isolatedrecurrenceofprostatecancertotheanteriorurethra5yearsafterradiationtherapy
AT tadatsuguanno isolatedrecurrenceofprostatecancertotheanteriorurethra5yearsafterradiationtherapy
AT hiroakikobayashi isolatedrecurrenceofprostatecancertotheanteriorurethra5yearsafterradiationtherapy
AT yasumasamiyazaki isolatedrecurrenceofprostatecancertotheanteriorurethra5yearsafterradiationtherapy