Mahmoud MUSTAFA, Louis L. PİSTERS

Overdoz prostat radyasyonunda acil robotik radikal prostatektomi

67 yaşında prostat adenokarsinom tanılı boost doz yerine, tam doz iodine-125 brakiterapiyi takiben eksternal beam radyoterapi tedavisi alarak tıbbı bir talihsizlik yaşamış hasta, ileri değerlendirme ve radikal prostatektomi için kliniğimize yönlendirildi. Hastaya robotik radikal prostatektomi ve bileteral pelvik lenf nodu diseksiyonu yapıldı. Radyoaktif çekirdekler çıkarıldı ve 10 aylık takipte hastalıksızdı. En önemlisi hastada ciddi pelvik komplikasyonlar yoktu. Aşırı doz radyasyon alan bu tip hastalar radikal prostatektomi için ivedilikle yönlendirmelidir

Anahtar Kelimeler:

prostat kanseri, brakiterapi, radikal prostatektomi

Emergency robotic radical prostatectomy for acute prostate radiation overdose

A sixty seven-year-old patient who was diagnosed to have prostatic adenocarcinoma, experienced a medical misadventure when he received external beam radiation therapy followed by a full dose of iodine-125 brachytherapy, instead of a boost dose. The patient was referred to our center for further evaluation and possible urgent radical prostatectomy. The patient underwent successful robotic radical retropubic prostatectomy with bilateral lymphnode dissection. Radioactive seeds were removed and the patient remains diseasefree with 10 months follow-up. Most importantly, the patient has not experience any serious pelvic complications. Patients with this type of radiation overdose should be immediately referred for emergency radical prostatectomy

Keywords:

prostate cancer, brachytherapy, radical prostatectomy,

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