PSMA-PET detected port site recurrence of prostate cancer following minimally invasive radical prostatectomy and utilisation of hookwire localisation for excision

William Harrison; Alexander Nesbitt; David Sillar

doi:10.1016/j.eucr.2023.102570

PSMA-PET detected port site recurrence of prostate cancer following minimally invasive radical prostatectomy and utilisation of hookwire localisation for excision

Urol Case Rep. 2023 Sep 21:51:102570. doi: 10.1016/j.eucr.2023.102570. eCollection 2023 Nov.

Authors

William Harrison¹, Alexander Nesbitt¹, David Sillar¹

Affiliation

¹ NSW Health, The Tweed Hospital, 16 Powell St, Tweed Heads, NSW, 2560, Australia.

Abstract

Biochemical recurrence following prostate cancer treatment is well-known, with predictable sites typically observed in the prostate bed, lymph nodes, or skeleton. The emergence of PSMA-PET scans has revealed the potential for early recurrence in non-conventional sites, including port site metastases. Our report presents a rare case of abdominal wall metastasis detected 97 months post-prostatectomy. The excision of this subcutaneous lesion using image-guided hookwire techniques showed promise in minimising morbidity while providing successful oncologic outcomes. Further investigation is needed to establish the efficacy of PSMA-PET-guided interventions on long-term patient outcomes in treating prostate cancer port site metastases.

Keywords: Biochemical recurrence; Image-guided techniques; Minimally invasive radical prostatectomy; PSMA-PET; Port site metastases; Prostate cancer.

Publication types

Case Reports