A sixty seven-year-old patient who was diag-nosed to have prostatic adenocarcinoma, experi-enced a medical misadventure when he received external beam radiation therapy followed by a full dose of iodine-125 brachytherapy, instead of a boost dose. The patient was referred to our center for further evaluation and possible urgent radical prostatectomy. The patient underwent successful robotic radical retropubic prostatectomy with bi-lateral lymphnode dissection. Radioactive seeds were removed and the patient remains disease-free with 10 months follow-up. Most impor-tantly, the patient has not experience any serious pelvic complications. Patients with this type of radiation overdose should be immediately refer-red for emergency radical prostatectomy.
Key Words: prostate cancer, brachytherapy, radical prostatectomy.
Abstract
A sixty seven-year-old patient who was diag-nosed to have prostatic adenocarcinoma, experi-enced a medical misadventure when he received external beam radiation therapy followed by a full dose of iodine-125 brachytherapy, instead of a boost dose. The patient was referred to our center for further evaluation and possible urgent radical prostatectomy. The patient underwent successful robotic radical retropubic prostatectomy with bi-lateral lymphnode dissection. Radioactive seeds were removed and the patient remains disease-free with 10 months follow-up. Most impor-tantly, the patient has not experience any serious pelvic complications. Patients with this type of radiation overdose should be immediately refer-red for emergency radical prostatectomy.
Key Words: prostate cancer, brachytherapy, radical prostatectomy.