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
相关论文
共 18 条
[11]   Management of Radiation Proctitis [J].
Tabaja, Lameese ;
Sidani, Shafik M. .
DIGESTIVE DISEASES AND SCIENCES, 2018, 63 (09) :2180-2188
[12]   LONG-TERM OUTCOME FOR CLINICALLY LOCALIZED PROSTATE CANCER TREATED WITH PERMANENT INTERSTITIAL BRACHYTHERAPY [J].
Taira, Al V. ;
Merrick, Gregory S. ;
Butler, Wayne M. ;
Galbreath, Robert W. ;
Lief, Jonathan ;
Adamovich, Edward ;
Wallner, Kent E. .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2011, 79 (05) :1336-1342
[13]   Comparison of PSA value at last follow-up of patients who underwent low-dose rate brachytherapy and intensity-modulated radiation therapy for prostate cancer [J].
Tanaka, Nobumichi ;
Asakawa, Isao ;
Nakai, Yasushi ;
Miyake, Makito ;
Anai, Satoshi ;
Fujii, Tomomi ;
Hasegawa, Masatoshi ;
Konishi, Noboru ;
Fujimoto, Kiyohide .
BMC CANCER, 2017, 17
[14]  
Teh AY, 2014, BMJ Case Rep., V2014
[15]   Ischemic colitis: Clinical practice in diagnosis and treatment [J].
Theodoropoulou, Angeliki ;
Koutroubakis, Ioannis E. .
WORLD JOURNAL OF GASTROENTEROLOGY, 2008, 14 (48) :7302-7308
[16]   Polyethylene glycol-based hydrogel rectal spacers for prostate brachytherapy: a systematic review with a focus on technique [J].
Vaggers, S. ;
Rai, B. P. ;
Chedgy, E. C. P. ;
de la Taille, A. ;
Somani, B. K. .
WORLD JOURNAL OF UROLOGY, 2021, 39 (06) :1769-1780
[17]   Permanent prostate brachytherapy with or without supplemental external beam radiotherapy as practiced in Japan: Outcomes of 1300 patients [J].
Yorozu, Atsunori ;
Kuroiwa, Nobuko ;
Takahashi, Akane ;
Toya, Kazuhito ;
Saito, Shiro ;
Nishiyama, Toru ;
Yagi, Yasuto ;
Tanaka, Tomoki ;
Shiraishi, Yutaka ;
Ohashi, Toshio .
BRACHYTHERAPY, 2015, 14 (02) :111-117
[18]   Predicting biochemical tumor control after brachytherapy for clinically localized prostate cancer: The Memorial Sloan-Kettering Cancer Center experience [J].
Zelefsky, Michael J. ;
Chou, Joanne F. ;
Pei, Xin ;
Yamada, Yoshiya ;
Kollmeier, Marisa ;
Cox, Brett ;
Zhang, Zhigang ;
Schechter, Michael ;
Cohen, Gil'ad N. ;
Zaider, Marco .
BRACHYTHERAPY, 2012, 11 (04) :245-249