Recidiva local en cáncer de próstata por siembra durante prostatectomía radical retropúbica: a propósito de un caso

Abstract

A 67-year-old asymptomatic man had a slightly elevated prostate-specific antigen level 30 months after undergoing radical retropubic prostatectomy due to T1c adenocarcinoma of the prostate, with a Gleason score of 5. Physical examination only revealed a subcutaneous, infraumbilical, painless nodule of 3 cm coinciding with the incisional area of the abovementioned intervention. Computed axial tomography scan with contrast medium confirmed that finding, as well as the absence of suspicious adenopathies and other tumor foci. Local biopsy was performed, confirming the diagnosis of prostate cancer recurrence and the mass was completely excised.

Even when dealing with a tumor of slow growth and low Gleason score, the possibility of tumor cell seeding during surgery cannot be ignored. Therefore the basic principles of oncologic surgery must be strictly followed to optimally reduce this possibility.