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Chinese Journal of Endourology(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (06): 374-377. doi: 10.3877/cma.j.issn.1674-3253.2019.06.004

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The multidisciplinary management of oligometastatic prostate cancer: a case report and review of literatures

Jinyou Wang1, Dongdong Xie1, Liangkuan Bi1, Yi Wang1, Dexin Yu1,()   

  1. 1. Department of Urology, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China
  • Received:2019-03-01 Online:2019-12-01 Published:2019-12-01
  • Contact: Dexin Yu
  • About author:
    Corresponding author: Yu Dexin, Email:

Abstract:

Objective

To discussion the application of multidisciplinary comprehensive diagnosis and treatment of oligometastatic prostate cancer.

Methods

The clinical data of an oligometastatic prostate cancer patient treated with multidisciplinary comprehensive mode was analyzed retrospectively, and related literatures were reviewed.

Results

PSA of the patient was 60 μg/L. The pelvic MRI considered to be prostate cancer with bilateral seminal vesicle and left ureteral orifice invasion, diagnosis was confirmed by prostate biopsy and the Gleason score was 4+5, ECT scan found four bone metastases. The patient had been treated with androgen deprivation therapy since May 2016. He had undergone sequential neoadjuvant chemotherapy, cytoreductive radical prostatectomy, stereotactic radiotherapy, abiraterone + prednisone and Docetaxel chemotherapy. After follow-up until December 2018, the patient had no significant pain and discomfort, but the PSA increased.

Conclusion

Multidisciplinary treatment can prolong survival and improve quality of life in patients with oligometastatic prostate cancer.

Key words: Oligometastasis, Prostate cancer, Multidisciplinary, Synthetic therapy

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