Skip to main content
SpringerLink
Log in

Seedmigration in den vertebralen Venenplexus nach Prostatabrachytherapie

Seed migration to the vertebral venous plexus after prostate brachytherapy

  • Kasuistiken
  • Published:
Der Urologe Aims and scope Submit manuscript

Zusammenfassung

Wir berichten über eine Seedmigration in den vertebralen venösen Plexus nach Prostata-LDR-Brachytherapie mit I-125. Ein 74 Jahre alter Mann mit T1cN0Mo-Adenokarzinom der Prostata mit einem Gleason-Score von 6 (3+3) und einem PSA-Wert von 14,94 ng/ml unterzog sich einer interstitiellen Prostatabrachytherapie. Sechs Wochen nach der Therapie wurden im Rahmen der Nachplanung ein migrierter Seed im venösen vertebralen Plexus und ein zweiter in der rechten Lunge festgestellt. Es konnte kein Gewebeschaden rund um die migrierten Seeds dokumentiert werden und es bestanden keine klinischen Symptome.

Abstract

We report on seed migration to the vertebral venous plexus after low dose rate prostate brachytherapy with 125I. A 74-year-old man with T1c N0 M0 adenocarcinoma of the prostate with a Gleason score of 6 (3+3) and prostate-specific antigen level of 14.94 ng/ml underwent interstitial prostate brachytherapy. Six weeks after treatment at the follow-up to determine aftercare a migrated seed was detected in the vertebral venous plexus and a second one in the right lung. No tissue damage around the migrated seeds was documented and the patient exhibited no clinical symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Abbreviations

LDR-Brachytherapie:

Low Dose Rate-Brachytherapie

I-125:

Jod125

D90:

Isodose 90

CT:

Computertomographie

Literatur

  1. Batson OV (1940) The function of the vertebral veins and their role in the spread of metastases. Ann Surg 112:138–149

    Article  CAS  PubMed  Google Scholar 

  2. Batson OV (1957) The vertebral vein system. Caldwell lecture, 1956. Am J Roentgenol Radium Ther Nuc Med 78:195–212

    CAS  Google Scholar 

  3. Davis BJ, Pfeifer EA, Wilson TM et al (2000) Prostate brachytherapy seed migration to the right ventricle found at autopsy following acute cardiac dysrhythmia. J Urol 164:1661

    Article  CAS  PubMed  Google Scholar 

  4. Masahiro N, Hiromi U, Takahiro G et al (2006) Migration of prostate brachytherapy seeds to the vertebral venous plexus. Brachytherapy 5:127–130

    Article  Google Scholar 

  5. Nag S, Scaperoth D, Badalament R et al (1995) Transperineal palladium-103 prostate brachytherapie: analysis of morbidity and seed migration. Urology 45:87

    Article  CAS  PubMed  Google Scholar 

  6. Nag S, Vivekanandam S, Martinez Monge R (1997) Pulmonary embolization of permanently implanted radioactive palladium-103 seeds for carcinoma of the prostate. Int J Radiat Oncol Biol Phys 39:667–670

    CAS  PubMed  Google Scholar 

  7. Older RA, Synder B, Krupsky TL et al (2001) Radioactive implant migration in patients treated for localized prostate cancer with interstitial brachytherapy. J Urol 165:1590–1592

    Article  CAS  PubMed  Google Scholar 

  8. Steinfeld AD, Donahue BR, Plaine L (1991) Pulmonary embolization of iodine-125 seeds following prostate implantation. Urology 37:149

    Article  CAS  PubMed  Google Scholar 

  9. Tapen EM, Blasko JC, Grimm PD et al (1998) Reduction of radioactive seed embolization to the lung following prostate brachytherapy. Int J Radiat Oncol Biol Phys 42:1063–1067

    CAS  PubMed  Google Scholar 

  10. Zhu AX, Wallner KE, Frivold GP et al (2006) Prostate brachytherapy seed migration to the right coronary artery associated with an acute myocardial infarction. Brachytherapy 6:262–265

    Article  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Strahlenklinik, Paracelsus-Klinik Osnabrück, Am Natruper Holz 69, 49076, Osnabrück, Deutschland

    W. Wagner, A. Radmard, A. Christ & M.G. Krukemeyer

  2. Klinik und Poliklinik für Strahlentherapie und Radioonkologie, Westfälische Wilhelms-Universität Münster, Münster, Deutschland

    N. Willich

  3. Urologie, Paracelsus-Klinik Osnabrück, Osnabrück, Deutschland

    P.W. Fleig

Authors
  1. W. Wagner
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Willich
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Radmard
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Christ
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P.W. Fleig
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M.G. Krukemeyer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to W. Wagner.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wagner, W., Willich, N., Radmard, A. et al. Seedmigration in den vertebralen Venenplexus nach Prostatabrachytherapie. Urologe 49, 1390–1392 (2010). https://doi.org/10.1007/s00120-010-2382-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00120-010-2382-9

Schlüsselwörter

Keywords

Search

Navigation