Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/15925 |
Resumo: | A 71-year-old male presented with Merkel cell carcinoma along with inguinal lymph node involvement (stage III). The patient was proposed for systemic treatment followed by inguinal lymphadenectomy and adjuvant radiotherapy. During the follow-up period, recurrences were documented (lymphatic and visceral) and were treated with salvage surgery and radiotherapy. On the fifth year of follow-up the patient was diagnosed with a metastasis in the right seminal vesicle and underwent stereotactic body radiation therapy. Two-years later, tumor recurrence in the right seminal vesicle was managed with salvage robotic assisted seminal vesiculectomy. Advanced stages of Merkel cell carcinoma have a poor outcome and salvage treatments should be tailored to each patient. A multidisciplinary approach was crucial in achieving successful outcomes. The patient is still recurrence free twenty-four months after surgery. To the best of our knowledge, this is the first publication reporting a seminal vesical Merkel cell metastasis. |
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Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma MetastasisVesiculectomia Seminal Robótica de Salvação em Metástase de Carcinoma de Células de MerkelCarcinomaMerkel Cell/therapyNeoplasm Metastasis/surgeryRoboticsSeminal Vesicles/surgeryCarcinoma de Célula de Merkel/tratamentoMetástase Neoplásica/cirurgiaRobóticaVesículas Seminais/cirurgiaA 71-year-old male presented with Merkel cell carcinoma along with inguinal lymph node involvement (stage III). The patient was proposed for systemic treatment followed by inguinal lymphadenectomy and adjuvant radiotherapy. During the follow-up period, recurrences were documented (lymphatic and visceral) and were treated with salvage surgery and radiotherapy. On the fifth year of follow-up the patient was diagnosed with a metastasis in the right seminal vesicle and underwent stereotactic body radiation therapy. Two-years later, tumor recurrence in the right seminal vesicle was managed with salvage robotic assisted seminal vesiculectomy. Advanced stages of Merkel cell carcinoma have a poor outcome and salvage treatments should be tailored to each patient. A multidisciplinary approach was crucial in achieving successful outcomes. The patient is still recurrence free twenty-four months after surgery. To the best of our knowledge, this is the first publication reporting a seminal vesical Merkel cell metastasis.Doente do sexo masculino de 71 anos, com carcinoma de células de Merkel com metastização ganglionar inguinal (estádio III), submetido a terapêutica sistémica seguida de linfadenectomia inguinal e radioterapia adjuvante. Durante o seguimento, todas as recorrências foram tratadas com radioterapia ou cirurgia de salvação. Cinco anos após o diagnóstico inicial, o doente foi diagnosticado com uma metástase na vesicula seminal direita, tendo sido tratado com radioterapia estereotáxica corporal. Dois anos mais tarde, por nova recorrência do tumor na vesicula seminal direita, foi submetido a uma vesiculectomia seminal robótica de salvação. Estádios avançados do carcinoma de células de Merkel apresentam um prognóstico reservado e os tratamentos de salvação devem ser adaptados a cada doente. Uma abordagem multidisciplinar revelou-se crucial para o sucesso do caso. O doente encontra-se no vigésimo quarto mês de pós-operatório, sem evidência de recidiva de doença. Até à data, este é o primeiro caso descrito de metástase na vesicula seminal de carcinoma de células de Merkel.Ordem dos Médicos2022-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/15925oai:ojs.www.actamedicaportuguesa.com:article/15925Acta Médica Portuguesa; Vol. 35 No. 6 (2022): June; 488-491Acta Médica Portuguesa; Vol. 35 N.º 6 (2022): Junho; 488-4911646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/15925https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/15925/6401Direitos de Autor (c) 2021 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessAlves, Luisa JerónimoGraça, BrunoMaes, Kris2022-12-20T11:07:42Zoai:ojs.www.actamedicaportuguesa.com:article/15925Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:42.259857Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis Vesiculectomia Seminal Robótica de Salvação em Metástase de Carcinoma de Células de Merkel |
title |
Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
spellingShingle |
Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis Alves, Luisa Jerónimo Carcinoma Merkel Cell/therapy Neoplasm Metastasis/surgery Robotics Seminal Vesicles/surgery Carcinoma de Célula de Merkel/tratamento Metástase Neoplásica/cirurgia Robótica Vesículas Seminais/cirurgia |
title_short |
Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
title_full |
Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
title_fullStr |
Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
title_full_unstemmed |
Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
title_sort |
Salvage Robotic-Assisted Seminal Vesiculectomy for Merkel Cell Carcinoma Metastasis |
author |
Alves, Luisa Jerónimo |
author_facet |
Alves, Luisa Jerónimo Graça, Bruno Maes, Kris |
author_role |
author |
author2 |
Graça, Bruno Maes, Kris |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Alves, Luisa Jerónimo Graça, Bruno Maes, Kris |
dc.subject.por.fl_str_mv |
Carcinoma Merkel Cell/therapy Neoplasm Metastasis/surgery Robotics Seminal Vesicles/surgery Carcinoma de Célula de Merkel/tratamento Metástase Neoplásica/cirurgia Robótica Vesículas Seminais/cirurgia |
topic |
Carcinoma Merkel Cell/therapy Neoplasm Metastasis/surgery Robotics Seminal Vesicles/surgery Carcinoma de Célula de Merkel/tratamento Metástase Neoplásica/cirurgia Robótica Vesículas Seminais/cirurgia |
description |
A 71-year-old male presented with Merkel cell carcinoma along with inguinal lymph node involvement (stage III). The patient was proposed for systemic treatment followed by inguinal lymphadenectomy and adjuvant radiotherapy. During the follow-up period, recurrences were documented (lymphatic and visceral) and were treated with salvage surgery and radiotherapy. On the fifth year of follow-up the patient was diagnosed with a metastasis in the right seminal vesicle and underwent stereotactic body radiation therapy. Two-years later, tumor recurrence in the right seminal vesicle was managed with salvage robotic assisted seminal vesiculectomy. Advanced stages of Merkel cell carcinoma have a poor outcome and salvage treatments should be tailored to each patient. A multidisciplinary approach was crucial in achieving successful outcomes. The patient is still recurrence free twenty-four months after surgery. To the best of our knowledge, this is the first publication reporting a seminal vesical Merkel cell metastasis. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/15925 oai:ojs.www.actamedicaportuguesa.com:article/15925 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/15925 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/15925 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/15925 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/15925/6401 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2021 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2021 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 35 No. 6 (2022): June; 488-491 Acta Médica Portuguesa; Vol. 35 N.º 6 (2022): Junho; 488-491 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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