Port site and peritoneal metastasis following laparoscopic radical prostatectomy and salvage radiotherapy for prostate adenocarcinoma.

OBJECTIVE

Metastatic involvement in the port site used to perform laparoscopic radical prostatectomy (LRP) is very infrequent.

METHODS

We report the case of a patient with port site and peritoneal metastasis after laparoscopic radical prostatectomy and salvage radiotherapy.

RESULTS

60-year-old male with a history of LRP due to Gleason score 7 (3+4) prostate adenocarcinoma with posterior salvage radiotherapy after biochemical recurrence. Appearance of metastatic lesion at one of the laparoscopic port site followed by third left rib and peritoneal metastasis, treated with local excision and subsequent hormonotherapy and chemotherapy (HT+QT).

CONCLUSIONS

Metastatic extension of prostate adenocarcinoma at a port site after performing laparoscopic radical prostatectomy is a highly exceptional situation. The elevation of PSA levels and image tests (PET-CT) help in the diagnosis. Histopathological confirmation must be performed using Fine Needle Aspiration(FNA). Surgical excision is the treatment of choice. Adjuvant therapy (HT+QT) can help complete the treatment scheme.