Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis
A 71-year-old male presented with Merkel cell carcinoma along with inguinal lymph node involvement (stage III). The patient was proposed for systemic treatment followed by inguinal lymphadenectomy and adjuvant radiotherapy. During the follow-up period, recurrences were documented (lymphatic and vis...
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
2022-06-01
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| Series: | Acta Médica Portuguesa |
| Subjects: | |
| Online Access: | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/15925 |
| _version_ | 1811228666274775040 |
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| author | Luisa Jerónimo Alves Bruno Graça Kris Maes |
| author_facet | Luisa Jerónimo Alves Bruno Graça Kris Maes |
| author_sort | Luisa Jerónimo Alves |
| collection | DOAJ |
| description |
A 71-year-old male presented with Merkel cell carcinoma along with inguinal lymph node involvement (stage III). The patient was proposed for systemic treatment followed by inguinal lymphadenectomy and adjuvant radiotherapy. During the follow-up period, recurrences were documented (lymphatic and visceral) and were treated with salvage surgery and radiotherapy. On the fifth year of follow-up the patient was diagnosed with a metastasis in the right seminal vesicle and underwent stereotactic body radiation therapy. Two-years later, tumor recurrence in the right seminal vesicle was managed with salvage robotic assisted seminal vesiculectomy. Advanced stages of Merkel cell carcinoma have a poor outcome and salvage treatments should be tailored to each patient. A multidisciplinary approach was crucial in achieving successful outcomes. The patient is still recurrence free twenty-four months after surgery. To the best of our knowledge, this is the first publication reporting a seminal vesical Merkel cell metastasis.
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| first_indexed | 2024-04-12T10:00:39Z |
| format | Article |
| id | doaj.art-3dc10532c2da4a3b964f2139104ee8f9 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-12T10:00:39Z |
| publishDate | 2022-06-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-3dc10532c2da4a3b964f2139104ee8f92022-12-22T03:37:34ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582022-06-0135610.20344/amp.159255458Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma MetastasisLuisa Jerónimo Alves0Bruno Graça1Kris Maes2Department of Urology. Hospital Beatriz Ângelo. Loures.Department of Urology. Hospital da Luz. Lisboa.Department of Urology. Hospital da Luz. Lisboa. A 71-year-old male presented with Merkel cell carcinoma along with inguinal lymph node involvement (stage III). The patient was proposed for systemic treatment followed by inguinal lymphadenectomy and adjuvant radiotherapy. During the follow-up period, recurrences were documented (lymphatic and visceral) and were treated with salvage surgery and radiotherapy. On the fifth year of follow-up the patient was diagnosed with a metastasis in the right seminal vesicle and underwent stereotactic body radiation therapy. Two-years later, tumor recurrence in the right seminal vesicle was managed with salvage robotic assisted seminal vesiculectomy. Advanced stages of Merkel cell carcinoma have a poor outcome and salvage treatments should be tailored to each patient. A multidisciplinary approach was crucial in achieving successful outcomes. The patient is still recurrence free twenty-four months after surgery. To the best of our knowledge, this is the first publication reporting a seminal vesical Merkel cell metastasis. https://actamedicaportuguesa.com/revista/index.php/amp/article/view/15925CarcinomaMerkel Cell/therapyNeoplasm Metastasis/surgeryRoboticsSeminal Vesicles/surgery |
| spellingShingle | Luisa Jerónimo Alves Bruno Graça Kris Maes Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis Acta Médica Portuguesa Carcinoma Merkel Cell/therapy Neoplasm Metastasis/surgery Robotics Seminal Vesicles/surgery |
| title | Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
| title_full | Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
| title_fullStr | Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
| title_full_unstemmed | Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
| title_short | Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
| title_sort | salvage robotic assisted seminal vesiculectomy for merkel cell carcinoma metastasis |
| topic | Carcinoma Merkel Cell/therapy Neoplasm Metastasis/surgery Robotics Seminal Vesicles/surgery |
| url | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/15925 |
| work_keys_str_mv | AT luisajeronimoalves salvageroboticassistedseminalvesiculectomyformerkelcellcarcinomametastasis AT brunograca salvageroboticassistedseminalvesiculectomyformerkelcellcarcinomametastasis AT krismaes salvageroboticassistedseminalvesiculectomyformerkelcellcarcinomametastasis |