1. Rectal adenocarcinoma with rectoprostatic fistula following prostate brachytherapy.
- Author
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Moss BF and Peracha AM
- Subjects
- Adenocarcinoma chemically induced, Adenocarcinoma diagnostic imaging, Aged, 80 and over, Humans, Male, Neoplasms, Radiation-Induced diagnostic imaging, Palliative Care, Prostate diagnostic imaging, Prostate radiation effects, Rectal Fistula chemically induced, Rectal Fistula diagnostic imaging, Rectal Neoplasms chemically induced, Rectal Neoplasms diagnostic imaging, Rectum radiation effects, Treatment Outcome, Adenocarcinoma pathology, Brachytherapy adverse effects, Neoplasms, Radiation-Induced pathology, Prostate pathology, Prostatic Neoplasms radiotherapy, Rectal Fistula pathology, Rectal Neoplasms pathology, Rectum pathology
- Abstract
An 80-year-old man with history of prostate cancer successfully treated with brachytherapy was initially thought to have Fournier's gangrene until imaging detected a rectoprostatic fistula. Although this is known to be a rare complication of prostate brachytherapy, in this case the aetiology was a new primary rectal adenocarcinoma. It was not possible to catheterise per urethra owing to the fistula, so he was fitted with suprapubic catheter, and underwent palliative loop colostomy. Brachytherapy carries a low risk of second primary cancers, although two previous cases reported such cancers as radiation induced. This is, to our knowledge, the first case of rectal adenocarcinoma following prostate brachytherapy in the literature., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2019
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