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Metastase eines Prostatakarzinoms in der Lamina submucosa des distalen Rektums bei Colitis ulcerosa

2 Jahre nach transrektaler Prostatabiopsie und radikaler Prostatovesikulektomie

Metastasis of prostate cancer in the lamina submucosa of the distal rectum

Two years after transrectal biopsy of the prostate and radical prostatectomy

Der Urologe, Ausgabe A volume 44, pages 64–67 (2005)Cite this article

Zusammenfassung

Die Standardmethode zur histologischen Verifizierung eines Prostatakarzinoms ist die ultraschallgesteuerte transrektale Prostatastanzbiopsie. Aus Einzellfallberichten ist eine lokale Tumorzellaussaat nach Stanzbiopsien bekannt.

Es wird der Fall eines 64-jährigen Patienten beschrieben, bei dem sich 2 Jahre nach radikaler Prostatovesikulektomie wegen Prostatakarzinom als Zufallsbefund im Rahmen einer Proktokolektomie bei Pancolitis ulcerosa eine Mikrometastase des Prostatakarzinoms in der Lamina submucosa des distalen Rektums fand. Als mögliche Ursache dieser Metastase kommt eine Implantationsmetastase im Rahmen der präoperativ erfolgten transrektalen Prostatastanzbiopsie differentialdiagnostisch in Betracht.

Abstract

Transrectal ultrasound-guided prostate biopsy is the standard technique to detect prostate cancer histologically. Based on a few case reports, it is known that prostate biopsy can cause a seeding of tumor cells.

We report the case of a 64-year-old man who 2 years after radical prostatectomy for prostate cancer underwent proctocolectomy because of ulcerative pancolitis. In the lamina submucosa of the distal rectum a micrometastasis of the prostate cancer was found. A possible reason for this metastasis is an implantation of prostate cancer cells due to the transrectal biopsy of the prostate.

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Affiliations

  1. Klinik für Urologie und Kinderurologie, Klinikum, Konstanz

    J. Bernhardt & N. Pfitzenmaier

  2. Institut für Pathologie, Klinikum, Konstanz

    C. Letzkus & M. Kind

  3. Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Klinikum, Konstanz

    H. B. Reith

  4. Klinik für Urologie und Kinderurologie, Klinikum, Luisenstraße 7, 78464, Konstanz

    J. Bernhardt

Authors
  1. J. Bernhardt
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  2. C. Letzkus
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  3. M. Kind
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  4. H. B. Reith
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  5. N. Pfitzenmaier
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Correspondence to J. Bernhardt.

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Bernhardt, J., Letzkus, C., Kind, M. et al. Metastase eines Prostatakarzinoms in der Lamina submucosa des distalen Rektums bei Colitis ulcerosa. Urologe [A] 44, 64–67 (2005). https://doi.org/10.1007/s00120-004-0731-2

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  • DOI: https://doi.org/10.1007/s00120-004-0731-2

Schlüsselwörter

  • Tumorzellaussaat
  • Nadel
  • Biopsie
  • Prostatakarzinom
  • Colitis ulcerosa

Keywords

  • Neoplasm seeding
  • Needle
  • Biopsy
  • Prostatic neoplasm
  • Ulcerative colitis