Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the Rectum
A 61-year-old man tested positive for occult urinary and fecal occult blood and was diagnosed with invasive prostate cancer extensively infiltrating the rectum. After scrutiny, he was diagnosed with cT4N1M0 prostate cancer, and androgen deprivation therapy (ADT) was initiated with a gonadotropin-rel...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2022-11-01
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| Series: | Case Reports in Oncology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/525900 |
| _version_ | 1828118584860082176 |
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| author | Yuki Katsumata Takeshi Suto Kotaro Otake Shinta Suenaga Masato Konno Kento Morozumi Senji Hoshi Kenji Numahata |
| author_facet | Yuki Katsumata Takeshi Suto Kotaro Otake Shinta Suenaga Masato Konno Kento Morozumi Senji Hoshi Kenji Numahata |
| author_sort | Yuki Katsumata |
| collection | DOAJ |
| description | A 61-year-old man tested positive for occult urinary and fecal occult blood and was diagnosed with invasive prostate cancer extensively infiltrating the rectum. After scrutiny, he was diagnosed with cT4N1M0 prostate cancer, and androgen deprivation therapy (ADT) was initiated with a gonadotropin-releasing hormone antagonist. A prostatic rectal resection was performed 6 months after ADT began. The bladder and urethra were anastomosed, the anus was preserved intact, and the sigmoid colon was anastomosed to the anus. A temporary ileostomy was constructed to allow eating and to prevent fistula formation. The ileostomy was closed 5 months post-operation as the patient wanted to live without a stoma. Although the patient died of other disease factors, he remained untreated for 1 year and 7 months post-operation, and his symptoms and disease control were well supported. We report that we were able to perform stoma-free surgical treatment for prostate cancer extensively infiltrating rectum. |
| first_indexed | 2024-04-11T13:33:37Z |
| format | Article |
| id | doaj.art-c719ae54ed194659bc93e9a77474e018 |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-04-11T13:33:37Z |
| publishDate | 2022-11-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-c719ae54ed194659bc93e9a77474e0182022-12-22T04:21:41ZengKarger PublishersCase Reports in Oncology1662-65752022-11-011531027103310.1159/000525900525900Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the RectumYuki Katsumata0Takeshi Suto1Kotaro Otake2Shinta Suenaga3Masato Konno4https://orcid.org/0000-0001-5363-2122Kento Morozumi5Senji Hoshi6Kenji Numahata7Department of Urology, Yamagata Prefectural Central Hospital, Yamagata, JapanDepartment of Gastroenterological Surgery, Yamagata Prefectural Central Hospital, Yamagata, JapanDepartment of Urology, Yamagata Prefectural Central Hospital, Yamagata, JapanDepartment of Urology, Yamagata Prefectural Central Hospital, Yamagata, JapanDepartment of Urology, Yamagata Prefectural Central Hospital, Yamagata, JapanDepartment of Urology, Yamagata Prefectural Central Hospital, Yamagata, JapanDepartment of Urology, Yamagata Prefectural Central Hospital, Yamagata, JapanDepartment of Urology, Yamagata Prefectural Central Hospital, Yamagata, JapanA 61-year-old man tested positive for occult urinary and fecal occult blood and was diagnosed with invasive prostate cancer extensively infiltrating the rectum. After scrutiny, he was diagnosed with cT4N1M0 prostate cancer, and androgen deprivation therapy (ADT) was initiated with a gonadotropin-releasing hormone antagonist. A prostatic rectal resection was performed 6 months after ADT began. The bladder and urethra were anastomosed, the anus was preserved intact, and the sigmoid colon was anastomosed to the anus. A temporary ileostomy was constructed to allow eating and to prevent fistula formation. The ileostomy was closed 5 months post-operation as the patient wanted to live without a stoma. Although the patient died of other disease factors, he remained untreated for 1 year and 7 months post-operation, and his symptoms and disease control were well supported. We report that we were able to perform stoma-free surgical treatment for prostate cancer extensively infiltrating rectum.https://www.karger.com/Article/FullText/525900prostate cancerrectal infiltrationsurgical treatmentlocal treatmentinvasion |
| spellingShingle | Yuki Katsumata Takeshi Suto Kotaro Otake Shinta Suenaga Masato Konno Kento Morozumi Senji Hoshi Kenji Numahata Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the Rectum Case Reports in Oncology prostate cancer rectal infiltration surgical treatment local treatment invasion |
| title | Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the Rectum |
| title_full | Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the Rectum |
| title_fullStr | Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the Rectum |
| title_full_unstemmed | Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the Rectum |
| title_short | Surgery to Avoid Stoma Construction in Invasive Prostate Cancer Extensively Infiltrating the Rectum |
| title_sort | surgery to avoid stoma construction in invasive prostate cancer extensively infiltrating the rectum |
| topic | prostate cancer rectal infiltration surgical treatment local treatment invasion |
| url | https://www.karger.com/Article/FullText/525900 |
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