High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/21104 |
Resumo: | Introduction: in the clinical evaluation of the prostate, during the digital rectal examination, irregular nodules in the external glands located in the periphery of this organ can be recognized. Among the types of existing pathologies, prostate adenocarcinoma is the most common neoplasm of this tissue, as well as the second with the highest incidence in males in Brazil. Objective: to demonstrate a clinical case of high dosage of Prostate Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence that attest to tumor recurrence. Methodology: this is a clinical case study with a qualitative and descriptive perspective, which consists of a research that, in general, takes place with direct data collection, in which the researcher is the indispensable instrument. Case report: This is a patient diagnosed with prostate adenocarcinoma and undergoing radical prostatectomy. Even after surgical removal, the PSA dosage remained high, however, without any clinical findings attesting to a possible tumor recurrence. Discussion: PSA, despite being widely used as a complement to the diagnosis of prostate cancer, is also used during follow-up and verification of therapeutic efficacy. Thus, it is noteworthy that the increase in the values of this marker after radical prostatectomy, configuring a biochemical recurrence, is not always an indication of metastatic processes or tumor recurrence. Conclusion: in this case, it is imperative that complementary tests, such as bone scintigraphy and magnetic resonance, are performed to absolutely rule out diagnoses indicative of malignancy and to indicate the proper management of the clinical picture. Under this bias, after an individualized assessment, an acceptable alternative is the introduction of hormone therapy to stabilize these still high PSA values. |
id |
UNIFEI_94cdfcefd691a72de8a4370172330777 |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/21104 |
network_acronym_str |
UNIFEI |
network_name_str |
Research, Society and Development |
repository_id_str |
|
spelling |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case reportDosis alta de Antígeno Prostático Específico (PSA) en un paciente después de prostatectomía radical y sin evidencia clínica que apoye la recurrencia del tumor: reporte de casoDosagem alta de Antígeno Prostático Específico (PSA) em paciente após prostatectomia radical e sem evidências clínicas que atestem recidiva tumoral: relato de casoPSAProstatectomíaAdenocarcinoma.PSAProstatectomyAdenocarcinoma.PSAProstatectomiaAdenocarcinoma.Introduction: in the clinical evaluation of the prostate, during the digital rectal examination, irregular nodules in the external glands located in the periphery of this organ can be recognized. Among the types of existing pathologies, prostate adenocarcinoma is the most common neoplasm of this tissue, as well as the second with the highest incidence in males in Brazil. Objective: to demonstrate a clinical case of high dosage of Prostate Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence that attest to tumor recurrence. Methodology: this is a clinical case study with a qualitative and descriptive perspective, which consists of a research that, in general, takes place with direct data collection, in which the researcher is the indispensable instrument. Case report: This is a patient diagnosed with prostate adenocarcinoma and undergoing radical prostatectomy. Even after surgical removal, the PSA dosage remained high, however, without any clinical findings attesting to a possible tumor recurrence. Discussion: PSA, despite being widely used as a complement to the diagnosis of prostate cancer, is also used during follow-up and verification of therapeutic efficacy. Thus, it is noteworthy that the increase in the values of this marker after radical prostatectomy, configuring a biochemical recurrence, is not always an indication of metastatic processes or tumor recurrence. Conclusion: in this case, it is imperative that complementary tests, such as bone scintigraphy and magnetic resonance, are performed to absolutely rule out diagnoses indicative of malignancy and to indicate the proper management of the clinical picture. Under this bias, after an individualized assessment, an acceptable alternative is the introduction of hormone therapy to stabilize these still high PSA values.Introducción: en la evaluación clínica de la próstata, durante el tacto rectal, se pueden reconocer nódulos irregulares en las glándulas externas ubicadas en la periferia de este órgano. Entre los tipos de patologías existentes, el adenocarcinoma de próstata es la neoplasia más común de este tejido, así como la segunda con mayor incidencia en varones en Brasil. Objetivo: demostrar un caso clínico de alta dosis de Antígeno Prostático Específico (PSA) en un paciente tras prostatectomía radical y sin evidencia clínica que atestigüe la recidiva tumoral. Metodología: se trata de un estudio de caso clínico con perspectiva cualitativa y descriptiva, que consiste en una investigación que, en general, se realiza con recolección directa de datos, en la que el investigador es el instrumento indispensable. Caso clínico: Se trata de una paciente diagnosticada de adenocarcinoma de próstata y sometida a prostatectomía radical. Incluso después de la extirpación quirúrgica, la dosis de PSA se mantuvo alta, sin embargo, sin ningún hallazgo clínico que atestiguara una posible recurrencia del tumor. Discusión: El PSA, a pesar de ser ampliamente utilizado como complemento al diagnóstico de cáncer de próstata, también se utiliza durante el seguimiento y verificación de la eficacia terapéutica. Así, llama la atención que el aumento de los valores de este marcador tras la prostatectomía radical, configurando una recidiva bioquímica, no siempre es un indicio de procesos metastásicos o recidiva tumoral. Conclusión: en este caso es imperativo que se realicen pruebas complementarias, como la gammagrafía ósea y la resonancia magnética, para descartar absolutamente diagnósticos indicativos de malignidad e indicar el adecuado manejo del cuadro clínico. Bajo este sesgo, tras una valoración individualizada, una alternativa aceptable es la introducción de hormonoterapia para estabilizar estos valores aún elevados de PSA.Introdução: na avaliação clínica da próstata, durante o exame de toque retal, podem ser reconhecidos nódulos irregulares nas glândulas externas localizadas na periferia desse órgão. Entre os tipos de patologias existentes, o adenocarcinoma de próstata é a neoplasia mais comum desse tecido, bem como a segunda de maior incidência no sexo masculino no Brasil. Objetivo: evidenciar um caso clínico de dosagem alta de Antígeno Prostático Específico (PSA) em paciente após prostatectomia radical e sem evidências clínicas que atestem recidiva tumoral. Metodologia: trata-se de um estudo de caso clínico com perspectiva qualitativa e descritiva, que consiste em uma pesquisa em que, em geral, ocorre com coleta direta de dados, cujo o pesquisador é o instrumento indispensável. Relato de caso: Trata-se de paciente diagnosticado com adenocarcinoma prostático e submetido à prostatectomia radical. Mesmo após a retirada da cirúrgica, a dosagem de PSA continuou alta, no entanto, sem nenhum achado clínico que ateste possível recidiva tumoral. Discussão: o PSA, apesar de ser amplamente utilizado de maneira complementar ao diagnóstico do câncer de próstata, também é empregado durante o acompanhamento e a verificação da eficácia terapêutica. Dessa forma, ressalta-se que o aumento dos valores desse marcador após a prostatectomia radical, configurando uma recidiva bioquímica, nem sempre é um indício de processos metastáticos ou de reincidência tumoral. Conclusão: nesse caso, é imperativo que exames complementares, como a cintilografia óssea e a ressonância magnética, sejam realizados para descartar absolutamente diagnósticos indicativos de malignidade e para indicar o manejo adequado do quadro clínico. Sob esse viés, após uma avaliação individualizada, uma alternativa admissível é a introdução da hormonioterapia para a estabilização desses valores ainda elevados de PSA.Research, Society and Development2021-10-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2110410.33448/rsd-v10i13.21104Research, Society and Development; Vol. 10 No. 13; e93101321104Research, Society and Development; Vol. 10 Núm. 13; e93101321104Research, Society and Development; v. 10 n. 13; e931013211042525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/21104/18687Copyright (c) 2021 Maria Laura Alves Freitas; Annelize Florêncio Rabelo; Bárbara Queiroz de Figueiredo; Bethânya Helena Silva de Oliveira; Clarisse Queiroz Lima de Araújo; Luciana Fernanda Pereira Lopes; Murilo Henrique Godinho Roque; Mychell Flávio Aparecido Rodrigues de Sousa; Paulo Victor Martins Carneirohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFreitas, Maria Laura AlvesRabelo, Annelize FlorêncioFigueiredo, Bárbara Queiroz de Oliveira, Bethânya Helena Silva de Araújo, Clarisse Queiroz Lima de Lopes, Luciana Fernanda PereiraRoque, Murilo Henrique GodinhoSousa, Mychell Flávio Aparecido Rodrigues de Carneiro, Paulo Victor Martins2021-11-21T18:26:28Zoai:ojs.pkp.sfu.ca:article/21104Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:35.413760Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report Dosis alta de Antígeno Prostático Específico (PSA) en un paciente después de prostatectomía radical y sin evidencia clínica que apoye la recurrencia del tumor: reporte de caso Dosagem alta de Antígeno Prostático Específico (PSA) em paciente após prostatectomia radical e sem evidências clínicas que atestem recidiva tumoral: relato de caso |
title |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report |
spellingShingle |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report Freitas, Maria Laura Alves PSA Prostatectomía Adenocarcinoma. PSA Prostatectomy Adenocarcinoma. PSA Prostatectomia Adenocarcinoma. |
title_short |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report |
title_full |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report |
title_fullStr |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report |
title_full_unstemmed |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report |
title_sort |
High dosage of Prostate-Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence to support tumor recurrence: case report |
author |
Freitas, Maria Laura Alves |
author_facet |
Freitas, Maria Laura Alves Rabelo, Annelize Florêncio Figueiredo, Bárbara Queiroz de Oliveira, Bethânya Helena Silva de Araújo, Clarisse Queiroz Lima de Lopes, Luciana Fernanda Pereira Roque, Murilo Henrique Godinho Sousa, Mychell Flávio Aparecido Rodrigues de Carneiro, Paulo Victor Martins |
author_role |
author |
author2 |
Rabelo, Annelize Florêncio Figueiredo, Bárbara Queiroz de Oliveira, Bethânya Helena Silva de Araújo, Clarisse Queiroz Lima de Lopes, Luciana Fernanda Pereira Roque, Murilo Henrique Godinho Sousa, Mychell Flávio Aparecido Rodrigues de Carneiro, Paulo Victor Martins |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Freitas, Maria Laura Alves Rabelo, Annelize Florêncio Figueiredo, Bárbara Queiroz de Oliveira, Bethânya Helena Silva de Araújo, Clarisse Queiroz Lima de Lopes, Luciana Fernanda Pereira Roque, Murilo Henrique Godinho Sousa, Mychell Flávio Aparecido Rodrigues de Carneiro, Paulo Victor Martins |
dc.subject.por.fl_str_mv |
PSA Prostatectomía Adenocarcinoma. PSA Prostatectomy Adenocarcinoma. PSA Prostatectomia Adenocarcinoma. |
topic |
PSA Prostatectomía Adenocarcinoma. PSA Prostatectomy Adenocarcinoma. PSA Prostatectomia Adenocarcinoma. |
description |
Introduction: in the clinical evaluation of the prostate, during the digital rectal examination, irregular nodules in the external glands located in the periphery of this organ can be recognized. Among the types of existing pathologies, prostate adenocarcinoma is the most common neoplasm of this tissue, as well as the second with the highest incidence in males in Brazil. Objective: to demonstrate a clinical case of high dosage of Prostate Specific Antigen (PSA) in a patient after radical prostatectomy and without clinical evidence that attest to tumor recurrence. Methodology: this is a clinical case study with a qualitative and descriptive perspective, which consists of a research that, in general, takes place with direct data collection, in which the researcher is the indispensable instrument. Case report: This is a patient diagnosed with prostate adenocarcinoma and undergoing radical prostatectomy. Even after surgical removal, the PSA dosage remained high, however, without any clinical findings attesting to a possible tumor recurrence. Discussion: PSA, despite being widely used as a complement to the diagnosis of prostate cancer, is also used during follow-up and verification of therapeutic efficacy. Thus, it is noteworthy that the increase in the values of this marker after radical prostatectomy, configuring a biochemical recurrence, is not always an indication of metastatic processes or tumor recurrence. Conclusion: in this case, it is imperative that complementary tests, such as bone scintigraphy and magnetic resonance, are performed to absolutely rule out diagnoses indicative of malignancy and to indicate the proper management of the clinical picture. Under this bias, after an individualized assessment, an acceptable alternative is the introduction of hormone therapy to stabilize these still high PSA values. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21104 10.33448/rsd-v10i13.21104 |
url |
https://rsdjournal.org/index.php/rsd/article/view/21104 |
identifier_str_mv |
10.33448/rsd-v10i13.21104 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21104/18687 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 13; e93101321104 Research, Society and Development; Vol. 10 Núm. 13; e93101321104 Research, Society and Development; v. 10 n. 13; e93101321104 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052756642496512 |