PMID- 37576903 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230815 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 13 DP - 2023 TI - Case Report: Analysis of four cases of metastatic bladder masses after radical prostatectomy. PG - 1211027 LID - 10.3389/fonc.2023.1211027 [doi] LID - 1211027 AB - OBJECTIVE: The aim of this study is to investigate the clinical characteristics and diagnostic and therapeutic methods of bladder metastasis after radical prostatectomy and to improve its diagnosis and treatment. METHODS: The clinical data of four patients with bladder metastasis after radical prostatectomy were retrospectively analyzed from January 2011 to December 2021. Three cases suffered from intermittent gross hematuria, and only one case was found to have an elevated prostate-specific antigen (PSA) value. Transurethral resection of bladder tumor was performed in four cases, in which one case also underwent resection of urethral mass. Three cases received endocrine therapy, one of which added intravesical instillation and radiation therapy. Another case received chemotherapy based on comprehensive treatment. RESULTS: According to the pathological and immunohistochemical results, three cases were acinar adenocarcinoma of the prostate with Gleason score of 9, and all cases were PSA positive and negative for cytokeratin 7 (CK7) and GATA binding protein 3 (GATA-3). One case was small cell neuroendocrine carcinoma of the prostate and was positive for chromogranin A (CGA), synaptophysin (SYN), and cluster of differentiation 56 (CD56). During the follow-up period of 4 to 13 months, one case was lost to follow-up and three cases were alive. CONCLUSION: Bladder metastasis after radical prostatectomy is rare, and pathology combined with immunohistochemistry is the gold standard for its diagnosis. Pathological type determines its treatment. Systemic treatment is essential, and local treatment is the most palliative means. Early diagnosis and treatment is significant for better prognosis. CI - Copyright (c) 2023 Wang, Xie, Lu, Chu, Wang, Qiao, Wu and Wang. FAU - Wang, Hao AU - Wang H AD - Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. FAU - Xie, Dawei AU - Xie D AD - Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. FAU - Lu, Jun AU - Lu J AD - Department of Pathology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. FAU - Chu, Yifan AU - Chu Y AD - Department of Urology, Beijing Daxing District People's Hospital, Beijiing, China. FAU - Wang, Siqi AU - Wang S AD - Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. FAU - Qiao, Peng AU - Qiao P AD - Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. FAU - Wu, Liyang AU - Wu L AD - Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. FAU - Wang, Jianwen AU - Wang J AD - Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. LA - eng PT - Case Reports DEP - 20230728 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC10417713 OTO - NOTNLM OT - bladder metastasis OT - diagnosis OT - prognosis OT - prostate cancer OT - radical prostatectomy COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/08/14 06:41 MHDA- 2023/08/14 06:42 PMCR- 2023/01/01 CRDT- 2023/08/14 04:49 PHST- 2023/04/24 00:00 [received] PHST- 2023/07/05 00:00 [accepted] PHST- 2023/08/14 06:42 [medline] PHST- 2023/08/14 06:41 [pubmed] PHST- 2023/08/14 04:49 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2023.1211027 [doi] PST - epublish SO - Front Oncol. 2023 Jul 28;13:1211027. doi: 10.3389/fonc.2023.1211027. eCollection 2023.