A patient with oligometastatic hormone‐sensitive prostate cancer who achieved long‐term progression‐free survival following cytoreductive radical prostatectomy and metastasectomy

Introduction Oligometastatic prostate cancer can be well‐controlled through combined local and metastasis‐directed therapies. However, the effects of cytoreductive radical prostatectomy and metastasectomy remain unclear. Case presentation A 52‐year‐old man presented with prostate cancer and isolated...

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Main Authors: Daisuke Mamiya, Toshiki Kijima, Atsuko Takada‐Owada, Hidetoshi Kokubun, Toshitaka Uematsu, Kohei Takei, Tsunehito Kambara, Kazuyuki Ishida, Hiroshi Taneichi, Takao Kamai
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.12693
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author Daisuke Mamiya
Toshiki Kijima
Atsuko Takada‐Owada
Hidetoshi Kokubun
Toshitaka Uematsu
Kohei Takei
Tsunehito Kambara
Kazuyuki Ishida
Hiroshi Taneichi
Takao Kamai
author_facet Daisuke Mamiya
Toshiki Kijima
Atsuko Takada‐Owada
Hidetoshi Kokubun
Toshitaka Uematsu
Kohei Takei
Tsunehito Kambara
Kazuyuki Ishida
Hiroshi Taneichi
Takao Kamai
author_sort Daisuke Mamiya
collection DOAJ
description Introduction Oligometastatic prostate cancer can be well‐controlled through combined local and metastasis‐directed therapies. However, the effects of cytoreductive radical prostatectomy and metastasectomy remain unclear. Case presentation A 52‐year‐old man presented with prostate cancer and isolated bone metastasis to the thoracic spine. Six months after neoadjuvant hormonal therapy, the patient underwent cytoreductive radical prostatectomy and total en bloc spondylectomy. The postoperative course was uneventful. Hormonal therapy was terminated 5 years after surgery, and no biochemical or radiological progression was observed at 7 years postoperatively. Conclusion Although careful patient selection is necessary, cytoreductive radical prostatectomy and metastasectomy are effective treatments for well‐selected patients with oligometastatic prostate cancer.
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spelling doaj.art-6429417e57c247609addffa8a20c2a042024-03-03T09:26:39ZengWileyIJU Case Reports2577-171X2024-03-017216516810.1002/iju5.12693A patient with oligometastatic hormone‐sensitive prostate cancer who achieved long‐term progression‐free survival following cytoreductive radical prostatectomy and metastasectomyDaisuke Mamiya0Toshiki Kijima1Atsuko Takada‐Owada2Hidetoshi Kokubun3Toshitaka Uematsu4Kohei Takei5Tsunehito Kambara6Kazuyuki Ishida7Hiroshi Taneichi8Takao Kamai9Department of Urology Dokkyo Medical University Shimotsuga Tochigi JapanDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi JapanDepartment of Diagnostic Pathology Dokkyo Medical University Shimotsuga Tochigi JapanDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi JapanDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi JapanDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi JapanDepartment of Urology Nasu Red Cross Hospital Otawara Tochigi JapanDepartment of Diagnostic Pathology Dokkyo Medical University Shimotsuga Tochigi JapanDepartment of Orthopaedic Surgery Dokkyo Medical University Shimotsuga Tochigi JapanDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi JapanIntroduction Oligometastatic prostate cancer can be well‐controlled through combined local and metastasis‐directed therapies. However, the effects of cytoreductive radical prostatectomy and metastasectomy remain unclear. Case presentation A 52‐year‐old man presented with prostate cancer and isolated bone metastasis to the thoracic spine. Six months after neoadjuvant hormonal therapy, the patient underwent cytoreductive radical prostatectomy and total en bloc spondylectomy. The postoperative course was uneventful. Hormonal therapy was terminated 5 years after surgery, and no biochemical or radiological progression was observed at 7 years postoperatively. Conclusion Although careful patient selection is necessary, cytoreductive radical prostatectomy and metastasectomy are effective treatments for well‐selected patients with oligometastatic prostate cancer.https://doi.org/10.1002/iju5.12693cytoreductive surgerymetastasectomyoligometastasisprogression‐free survivalprostate cancer
spellingShingle Daisuke Mamiya
Toshiki Kijima
Atsuko Takada‐Owada
Hidetoshi Kokubun
Toshitaka Uematsu
Kohei Takei
Tsunehito Kambara
Kazuyuki Ishida
Hiroshi Taneichi
Takao Kamai
A patient with oligometastatic hormone‐sensitive prostate cancer who achieved long‐term progression‐free survival following cytoreductive radical prostatectomy and metastasectomy
IJU Case Reports
cytoreductive surgery
metastasectomy
oligometastasis
progression‐free survival
prostate cancer
title A patient with oligometastatic hormone‐sensitive prostate cancer who achieved long‐term progression‐free survival following cytoreductive radical prostatectomy and metastasectomy
title_full A patient with oligometastatic hormone‐sensitive prostate cancer who achieved long‐term progression‐free survival following cytoreductive radical prostatectomy and metastasectomy
title_fullStr A patient with oligometastatic hormone‐sensitive prostate cancer who achieved long‐term progression‐free survival following cytoreductive radical prostatectomy and metastasectomy
title_full_unstemmed A patient with oligometastatic hormone‐sensitive prostate cancer who achieved long‐term progression‐free survival following cytoreductive radical prostatectomy and metastasectomy
title_short A patient with oligometastatic hormone‐sensitive prostate cancer who achieved long‐term progression‐free survival following cytoreductive radical prostatectomy and metastasectomy
title_sort patient with oligometastatic hormone sensitive prostate cancer who achieved long term progression free survival following cytoreductive radical prostatectomy and metastasectomy
topic cytoreductive surgery
metastasectomy
oligometastasis
progression‐free survival
prostate cancer
url https://doi.org/10.1002/iju5.12693
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