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. 2010 Jun 1;2010(4):6.
doi: 10.1093/jscr/2010.4.6.

Radical exenteration surgery is curative in locally advance mucinous prostatic adenocarcinoma involving bladder and rectum

Vincent S W Koo  1 , Naing N K Lynn  1 , Mark F Saxby  1
Affiliations

Radical exenteration surgery is curative in locally advance mucinous prostatic adenocarcinoma involving bladder and rectum

Vincent S W Koo et al. J Surg Case Rep. .

Abstract

The management of mucinous prostatic adenocarcinoma include hormonal treatment, radiotherapy and radical prostatectomy with variable long-term outcome. We report a 59 year old man with advanced mucinous prostatic adenocarcinoma involving almost the entire bladder and had failed treatment with hormonal and radiotherapy, but subsequently underwent radical pelvic exenteration surgery that resulted in long-term cure. He remains alive, his PSA remains undetectable and his surveillance CT scans did not show any evidence of recurrence after 11 years post-surgery. The favourable outcome of radical surgery suggests that radical surgery should be considered, especially in cases with failed initial treatments.

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Figures

Figure 1
Figure 1
MRI scan showing an enormous multicystic tumour arising from the prostate gland infiltrating the posterior wall of the bladder and also involving the rectum
See this image and copyright information in PMC

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