A Case of 5-year Survivor of Combined Resection of Prostate and Seminal Vesicle for Rectal Cancer

Hiroshi Matsuzaki, Eiichiro Shimizu, Takao Suzuki and Tatsuo Igarashi*

Department of Surgery, Saisei Hospital
Department of Urology, Graduate School of Medicine, Chiba University*

A 52-year-old man with lower abdominal pain and melena was found in colonofiberscopy to have type 2 rectal cancer mainly located in the anterior rectal wall. Computed tomography and magnetic resonance imaging showed the tumor contacting the prostate and seminal vesicle, indicating tumor invasion to the anterior organs and necessicating abdominoperineal resection associated with prostate and seminal vesicle resection. The man's quality of life (QOL) remained comfortable as simple abominoperineal resection except for urinary incontinence only for 6 months. A solitary metastatic liver tumor occurring at S7 of the liver necessitated partial hepatectomy 4 years and 2 months after initial surgery, but the man remains well 5 years and 2 months since the first operation. We recommend this operation for rectal cancer invading only the prostate and the seminal vesicle due to its high curability and maintenance of postoperative QOL.

Key words
rectal cancer, infiltration, prostatectomy

Reprint requests
Hiroshi Matsuzaki Department of Surgery, Saisei Hospital
800-1 Kashiwaicho, Hanamigawa-ku, Chiba, 262-8506 JAPAN

Accepted
May 21, 2008

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