Hepatic and skin metastases after laparoscopic radical prostatectomy for prostate cancer

J Gastrointestin Liver Dis. 2007 Sep;16(3):333-5.

Abstract

Between 2004 and 2006, 50 radical prostatectomies were performed in our department, 46 of them through a laparoscopic approach addressed to early stage cancer (T1a,b,c and T2a,b,c N0 M0). We present the case of a 63 year old patient, who was initially diagnosed with prostate cancer in T1bN0M0 stage, Gleason score 8 and later presented atypical hepatic and trocar site metastases. This particular evolution of the case can be explained by the high value of the Gleason score and by the extension into microvessels observed on the sample prelevated by prostatectomy. The rarity of this atypical metastases and its association, the diagnostic and therapy problems are the reasons for the detailed presentation of this case.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma* / pathology
  • Adenocarcinoma* / secondary
  • Adenocarcinoma* / surgery
  • Carcinoma in Situ* / pathology
  • Carcinoma in Situ* / surgery
  • Follow-Up Studies
  • Humans
  • Laparoscopy
  • Liver / pathology
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / surgery
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Prostate / pathology
  • Prostatic Neoplasms* / pathology
  • Prostatic Neoplasms* / surgery
  • Skin Neoplasms / secondary*
  • Surgical Instruments
  • Time Factors
  • Transurethral Resection of Prostate
  • Ultrasonography