Peritoneal metastases invading the seminal vesicles: Radiologic appearance and outcome of treatment.
Citation: European Journal of Surgical Oncology. 44(6):805-809, 2018 06.PMID: 29428475Institution: Washington Cancer InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Colorectal Neoplasms/pa [Pathology] | *Genital Neoplasms, Male/pa [Pathology] | *Peritoneal Neoplasms/sc [Secondary] | *Seminal Vesicles/pa [Pathology] | *Tomography, X-Ray Computed/mt [Methods] | Appendiceal Neoplasms/pa [Pathology] | Combined Modality Therapy | Follow-Up Studies | Humans | Male | Middle Aged | Neoplasm Invasiveness | Neoplasm Staging | Peritoneal Neoplasms/di [Diagnosis] | Peritoneal Neoplasms/th [Therapy] | Prognosis | Prospective StudiesYear: 2018Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:2002-2007ISSN:- 0748-7983
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 29428475 | Available | 29428475 |
Available online from MWHC library: 1995 - present, Available in print through MWHC library:2002-2007
BACKGROUND: Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) may be of greatest benefit if all visible evidence of disease is resected. In some male patients the peritoneal metastases within the pelvis are invasive into the seminal vesicles and complete cytoreduction requires resection of these structures.
CONCLUSIONS: Resection of the seminal vesicles in a patient with invasion of these structures by peritoneal metastases is possible and should be considered in selected patients. This resection causes impotence but normal urination is to be expected.
Copyright (c) 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
PATIENTS AND METHODS: From a prospective database of colorectal and appendiceal cancer patients who had CT evidence of seminal vesicle involvement and then had cytoreduction including resection of the seminal vesicles were reviewed. Their clinical features were tabulated.
RESULTS: Five patients were identified between ages 52 and 60. Three of 5 were appendiceal mucinous neoplasms and 4 of 5 had complete cytoreduction. Two of the patients are long-term survivors of 120 and 28 months. All patients are impotent and reported no return of sexual function over time. All five patients report normal micturition.
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