A Case of 5-year Survivor of Combined Resection of Prostate and Seminal Vesicle for Rectal Cancer

A 52-year-old man with lower abdominal pain and melena was found in colonofiberscopy to have type 2 rectal cancer mainly located in the anterior rectal wall. Computed tomography and magnetic resonance imaging showed the tumor contacting the prostate and seminal vesicle, indicating tumor invasion to...

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Bibliographic Details
Published inNippon Shokaki Geka Gakkai zasshi Vol. 41; no. 11; pp. 1994 - 1999
Main Authors Matsuzaki, Hiroshi, Shimizu, Eiichiro, Suzuki, Takao, Igarashi, Tatsuo
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 2008
Subjects
infiltration
prostatectomy
rectal cancer
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Summary:A 52-year-old man with lower abdominal pain and melena was found in colonofiberscopy to have type 2 rectal cancer mainly located in the anterior rectal wall. Computed tomography and magnetic resonance imaging showed the tumor contacting the prostate and seminal vesicle, indicating tumor invasion to the anterior organsand necessicating abdominoperineal resection associated with prostate and seminal vesicle resection. The man's quality of life (QOL) remained comfortable as simple abominoperineal resection except for urinary incontinence only for 6 months. A solitary metastatic liver tumor occurring at S7 of the liver necessitated partialhepatectomy 4 years and 2 months after initial surgery, but the man remains well 5 years and 2 months since the first operation. We recommend this operation for rectal cancer invading only the prostate and the seminal vesicle due to its high curability and maintenance of postoperative QOL.
ISSN:0386-9768
1348-9372
DOI:10.5833/jjgs.41.1994