Robot-Assisted Laparoscopic Radical Prostatectomy for Prostatic Metastatic Recurrence from Testicular Cancer

TL;DR

A young man with testicular cancer developed prostate metastasis and was successfully treated with chemotherapy and robot-assisted surgery.

Contribution

This case highlights the use of robot-assisted prostatectomy for treating rare prostatic metastasis from testicular cancer.

Findings

The patient showed tumor shrinkage after four cycles of chemotherapy.

No recurrence was observed nine months after robot-assisted radical prostatectomy.

Prostate metastasis should be considered in testicular cancer survivors with urinary symptoms.

Abstract

Treatment evidence for malignancies metastatic to the prostate in young patients is scarce. Herein, we present a case of prostatic metastasis from testicular cancer treated with induction chemotherapy followed by robot-assisted radical prostatectomy. Case Presentation. The patient is a 34-year-old male who underwent radical orchiectomy for a left testicular tumor two years ago and was diagnosed with a mixed germ cell tumor. He was followed up without adjuvant therapy, but symptoms of dysuria lead to suspicion of a prostate tumor, which was diagnosed by prostate biopsy as seminoma of the prostate. After four cycles of chemotherapy, normalization of tumor markers, and tumor shrinkage on imaging, he underwent robot-assisted radical prostatectomy. No recurrence has been observed nine months after treatment.

In men with a history of testicular cancer presenting with lower urinary tract symptoms, it is important to consider recurrent prostate metastases.

Figures