Fukui Shinji, Iemura Yusuke, Matsumura Yoshiaki, Kagebayashi Yoriaki, Samma Shoji
The Department of Urology, Japan Community Health Care Organization Yamato Koriyama Hospital·The Department of Urology, Nara Prefecture General Medical Center.
The Department of Urology, Nara Prefecture General Medical Center.
Hinyokika Kiyo. 2018 Dec;64(12):505-508. doi: 10.14989/ActaUrolJap_64_12_505.
A 69-year-old man who had a history of several nasal hemorrhages and transfusions presented with hereditary hemorrhagic telangiectasia. He was referred to the previous hospital due to the elevation of prostate specific antigen (PSA) to 17.2 ng/ml, and was diagnosed with prostate cancer (cT3aN0M0, Gleason 4 + 5). He was referred to our hospital for the treatment of prostate cancer. Contrast lung computed tomography and brain magnetic resonance imaging did not show arteriovenous fistula in either the lung or brain. Upper gastrointestinal endoscopy showed capillary dilatations in the gastric mucosa. Robot-assisted laparoscopic prostatectomy with Trendelenburg position under general anesthesia was performed. Tracheal intubation was made using bronchofiberscopy. A gastric tube was not inserted. Intra- and postoperative course was uneventful, and there has been no elevation of PSA during the eight months followed.
