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Aponte-Colon DA, Creviston A, Abern M, Routh JC. Radiation-induced Sarcoma of the Prostate After Treatment for Rhabdomyosarcoma. Urology 2024; 189:e1-e3. [PMID: 38723950 DOI: 10.1016/j.urology.2024.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 04/23/2024] [Accepted: 05/03/2024] [Indexed: 05/31/2024]
Abstract
Rhabdomyosarcoma (RMS) is among the most common pediatric solid malignancies. Fusion-negative, embryonal RMS is the predominant histology among prostate and bladder lesions. Management strategies depend on the clinical stage and risk group. Although the optimal strategy continues to evolve, the field has transitioned from radical upfront resection to organ preservation strategies with multi-modal therapy, including chemotherapy, radiation, and surgery. Survivors frequently develop late complications, including impaired fertility and sexual function, bladder dysfunction, and secondary malignancies. Our case describes an 11-year-old male who developed a radiation-induced prostatic sarcoma. We present a novel surgical technique and highlight the importance of multidisciplinary care.
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Affiliation(s)
| | - Austin Creviston
- Department of Urology, Medical University of South Carolina, Charleston, SC
| | - Michael Abern
- Department of Urology, Duke University School of Medicine, Durham, NC
| | - Jonathan C Routh
- Department of Urology, Duke University School of Medicine, Durham, NC
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Li P, Zhou H, Cao H, Xu B, Guo T, Zhu W, Zhao Y, Zhuo R, Ma L, Tao T, Zhou X, Feng Z. Robotic-assisted Laparoscopic Management of Bladder/Prostate Rhabdomyosarcoma in Children: Initial Series and 1-yr Outcomes. J Endourol 2021; 35:1520-1525. [PMID: 34254831 DOI: 10.1089/end.2020.1238] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE To present our preliminary experiences of robotic-assisted laparoscopic radical or partial cystectomy for bladder/prostate rhabdomyosarcoma in children. METHODS A retrospective study was conducted with children who underwent robotic-assisted laparoscopic surgery for bladder/prostate rhabdomyosarcoma (B/P RMS) between July 2018 and March 2020. The patient characteristics, tumor position, perioperative information, short time oncologic survival outcomes, and urinary function were recorded and evaluated. RESULTS We identified eight children who underwent robotic-assisted laparoscopic surgery for B/P RMS. Partial cystectomy was performed on all but one patient, who underwent a radical cystectomy and sigmoid neobladder reconstruction. Preoperative chemotherapy was administered to all eight patients, while preoperative radiotherapy was conducted in three cases, including one patient with a history of pelvic rhabdomyosarcoma. Unilateral/bilateral ureter reimplantation was done in four cases in which the patients' ureter orifices were involved. The mean follow-up time was 13.3 months, and no local recurrence or metastasis was observed. No patient experienced urinary incontinence eventually. CONCLUSION Robotic-assisted laparoscopic resection for bladder rhabdomyosarcoma in children is safe and feasible. Preoperative radiotherapy could decrease the tumor volume so that the membranous urethra could be preserved for as long as possible. The oncological efficacy and overall survival rate require further investigation and longer follow-up.
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Affiliation(s)
- Pin Li
- Bayi Children's Hospital, 196539, Beijing, China;
| | - Huixia Zhou
- Bayi Children's Hospital Affiliated to PLA Army General Hospital, Pediatric Urology, 5 Nanmencang, Dongchneg District, Beijing, China, 100700.,Chinese PLA Medical Academy, Urology, No. 28 Fuxing Road, Haidian District, Beijing, China, 100853;
| | - Hualin Cao
- Nanxishan Hospital of Guangxi Zhuang Autonomous Region, 477248, Department of Urology, Guilin, Guangxi, China;
| | - Bo Xu
- Xiamen Maternity and Child Health Hospital, 576636, Department of Pediatric Surgery, Xiamen, Fujian, China;
| | - Tao Guo
- Bayi Children's Hospital, 196539, Beijing, China;
| | - Weiwei Zhu
- Bayi Children's Hospital, 196539, Beijing, China;
| | - Yang Zhao
- Bayi Children's Hospital, 196539, Beijing, China;
| | - Ran Zhuo
- Bayi Children's Hospital Affiliated to PLA Army General Hospital, Pediatric Urology, Dongchneg District, Beijing, China;
| | - Lifei Ma
- Bayi Children's Hospital Affiliated to The Military General Hospital of Beijing PLA, Beijing, Urology, Beijing, China;
| | - Tian Tao
- Bayi Children's Hospital Affiliated to The Military General Hospital of Beijing PLA, Beijing, Beijing, China;
| | - Xiaoguang Zhou
- Bayi Children's Hospital Affiliated to PLA Army General Hospital, Department of Pediatric Urology, Dongcheng District, Beijing, China;
| | - Zhichun Feng
- Bayi Children's Hospital, 196539, Beijing, China;
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Llorens de Knecht E, Guadarrama Vega S, Donate G, Palou Redorta J, Bujons Tur A. Robot-assisted Radical Prostatectomy Due to a Primary Carcinoid Prostatic Tumor in a Three-Year-Old Child: A Case Report. Urology 2019; 133:216-218. [PMID: 31415779 DOI: 10.1016/j.urology.2019.08.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 08/01/2019] [Accepted: 08/05/2019] [Indexed: 11/29/2022]
Abstract
We present an extremely rare case of a 3-year-old child with a primary carcinoid tumor of the prostate. A 3-year-old boy presented with failure to thrive, constipation, recurrent respiratory tract infections, and pain in the genital area. His karyotype was normal and cystic fibrosis and coeliac disease were excluded prior to further investigation. An abdominopelvic computed tomography scan revealed a prostatic mass. Transrectal ultrasound-guided prostate biopsy was therefore performed and pathological examination revealed a carcinoid tumor. A robotic radical prostatectomy was performed. As this is an innovative surgical approach, we describe the surgical technique used.
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Affiliation(s)
| | | | - Gloria Donate
- Paediatric Urology Unit, Urology Department, Fundació Puigvert, Barcelona, Spain
| | - Joan Palou Redorta
- Uro-Oncology Unit, Urology Department, Fundació Puigvert, Barcelona, Spain
| | - Anna Bujons Tur
- Paediatric Urology Unit, Urology Department, Fundació Puigvert, Barcelona, Spain
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