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Prostate Cancer Diagnosis, Treatment and Outcomes in Patients with Previous or Synchronous Colorectal Cancer: A Systematic Review of Published Evidence

by Fusco, Ferdinando , Calogero, Armando , Morra, Simone , Capece, Marco , Collà Ruvolo, Claudia , Iacono, Fabrizio , Sica, Antonello , Abate, Marco , Mirone, Claudia , Sagnelli, Caterina , Mangiapia, Francesco , Mirone, Vincenzo , Celentano, Giuseppe , Napolitano, Luigi , Di Bello, Francesco , Longo, Nicola , La Rocca, Roberto , Creta, Massimiliano , Califano, Gianluigi , Cirillo, Luigi

in Biopsy / Cancer therapies / Colorectal cancer / Intubation / Life expectancy / Medical diagnosis / metachronous cancer / Patients / Prostate cancer / Radiation therapy / Surgery / Surveillance / synchronous cancer / Systematic Review / Tumors

2022

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Prostate Cancer Diagnosis, Treatment and Outcomes in Patients with Previous or Synchronous Colorectal Cancer: A Systematic Review of Published Evidence

2022

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Prostate Cancer Diagnosis, Treatment and Outcomes in Patients with Previous or Synchronous Colorectal Cancer: A Systematic Review of Published Evidence

2022

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Journal Article

Prostate Cancer Diagnosis, Treatment and Outcomes in Patients with Previous or Synchronous Colorectal Cancer: A Systematic Review of Published Evidence

Fusco, Ferdinando,

Calogero, Armando,

Morra, Simone,

Capece, Marco,

Collà Ruvolo, Claudia,

Iacono, Fabrizio,

Sica, Antonello,

Abate, Marco,

Mirone, Claudia,

Sagnelli, Caterina,

Mangiapia, Francesco,

Mirone, Vincenzo,

Celentano, Giuseppe,

Napolitano, Luigi,

Di Bello, Francesco,

Longo, Nicola,

La Rocca, Roberto,

Creta, Massimiliano,

Califano, Gianluigi,

Cirillo, Luigi

2022

Overview

The management of patients with prostate cancer (PCa) and previous or synchronous colorectal cancer (CRC) represents a challenging issue. A systematic review was performed in May 2022 to summarize available evidence about the diagnosis, management, and outcomes of these patients. Twenty-seven studies involving 252 patients were identified. Overall, 163 (64.7%) and 89 (35.3%) patients had synchronous and metachronous PCa and CRC, respectively. In patients with synchronous diseases, PCa treatment involved active surveillance in 1 patient, radical prostatectomy (RP) in 36 patients, radiotherapy (RT) in 60 patients, RP plus RT in 1 patient, proton beam therapy in 1 patient, and cryoablation in 1 patient. In patients with previous CRC treatment, prostate biopsy was mostly performed by transrectal approach (n = 24). The trans-perineal and suprapubic approaches were adopted in 12 and 6 cases, respectively. Surgical PCa treatment in these cases involved endoscopic extraperitoneal RP, robot-assisted RP, and not otherwise specified RP in 30, 15, and 2 cases, respectively. Biochemical recurrence rates ranged from 20% to 28%. Non-surgical PCa treatment options included brachytherapy, RT plus androgen deprivation therapy, and RT alone in 23, 2 and 4 patients, respectively. PCa specific survival was reported by one study and was 100%.

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Publisher

MDPI AG,MDPI

Subject

/ metachronous cancer