Ischemic proctitis after low-dose-rate brachytherapy using hydrogel spacer for prostate cancer

被引:3
作者
Toriumi, Ren [1 ]
Yaegashi, Hiroshi [1 ]
Sakurai, Takayuki [2 ]
Takamatsu, Shigeyuki [2 ]
Shigehara, Kazuyoshi [1 ]
Izumi, Kouji [1 ]
Kadono, Yoshifumi [1 ]
Mizokami, Atsushi [1 ]
机构
[1] Kanazawa Univ, Dept Integrat Canc Therapy & Urol, Grad Sch Med Sci, 13-1 Takaramachi, Kanazawa, Ishikawa 9208640, Japan
[2] Kanazawa Univ, Dept Radiol, Grad Sch Med Sci, Kanazawa, Ishikawa, Japan
关键词
brachytherapy; hydrogels; ischemic colitis; proctitis; prostatic neoplasms; EXTERNAL-BEAM RADIOTHERAPY; TOXICITY; OUTCOMES;
D O I
10.1002/iju5.12444
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Recently, an absorbable hydrogel spacer is becoming more widespread to reduce rectal radiation dose for radiation therapy for localized prostate cancer. Case presentation: A 79-year-old male patient was referred to our hospital for radical treatment of organ-confined prostate cancer. Low-dose-rate brachytherapy was performed, and the hydrogel spacer injection was added. The spacer was properly injected between the prostate and the rectum, causing no acute complications during hospitalization. Two months after low-dose-rate brachytherapy, the patient visited our hospital with constipation and melena, without fever. He was diagnosed with ischemic proctitis based on clinical courses and examinations. He was hospitalized for 19days and made a complete recovery with conservative treatment. Conclusions: Herein, we report the first case of ischemic proctitis after low-dose-rate brachytherapy using hydrogel spacer for prostate cancer.
引用
收藏
页码:237 / 240
页数:4
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