Nature clinical practice. Oncology 2005-05
Multidisciplinary treatment of synchronous primary rectal and prostate cancers.
ABSTRACT
BACKGROUND
A 58-year-old Caucasian man with a history of irritable bowel syndrome and occasional rectal bleeding presented with a 4-week history of progressive, bright red blood per rectum. A digital rectal examination revealed a 3 cm distal, midrectal mass. Laboratory tests showed an elevated serum prostate-specific antigen of 32 ng/ml but other physical and medical examinations were unremarkable.
INVESTIGATIONS
Digital rectal examination, colonoscopy, rectal mass biopsy, endorectal ultrasound, transrectal ultrasound-guided prostate biopsy, CT scan and MRI.
DIAGNOSIS
Clinical stage III (T3N1M0), moderately differentiated adenocarcinoma of the rectum and clinical stage II (T1cN0M0) adenocarcinoma of the prostate.
MANAGEMENT
Intensity-modulated radiation therapy, chemoradiation, chemotherapy, hormone therapy and surgery.
Related Questions
I have a healthy 70+ year old man recently diagnosed with cT3N1M0 rectal adenoCA and GS 3+4=7 prostate cancer in 1/6 cores with a PSA of 25.
Is ...
New comment by Radiation Oncologist at Vanderbilt-Ingram Cancer Center ( July 21, 2023)
Not too much compared to a decade ago, besides that perhaps some would consider 5 Fx RT an option for both combining SC-RT and prostate SBRT (although I would not be in favor ...