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• W2138475650 abstract "No AccessJournal of UrologyAdult urology1 Jun 2006Urothelial Carcinoma After External Beam Radiation Therapy for Prostate Cancer Satyan K. Shah, Paul D. Lui, D. Duane Baldwin, and Herbert C. Ruckle Satyan K. ShahSatyan K. Shah Nothing to disclose. More articles by this author , Paul D. LuiPaul D. Lui Nothing to disclose. More articles by this author , D. Duane BaldwinD. Duane Baldwin Financial interest and/or other relationship with Baxter, Applied Medical, Weck, Ethicon Endo-Surgery, United States Surgical Corporation, Onset Medical and Aesculap. More articles by this author , and Herbert C. RuckleHerbert C. Ruckle Nothing to disclose. More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(06)00324-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We reviewed the clinical course of patients in whom urothelial carcinoma developed following radiation therapy for prostate cancer. Materials and Methods: A retrospective review of all patients between 1990 and 2005 with the diagnosis of bladder and prostate cancer was performed. Of 125 total patients new onset urothelial carcinoma developed in 11 after undergoing external beam radiation therapy for prostate cancer. Results: Whole pelvis external beam radiation therapy with a proton boost to the prostate was the radiation modality in 7 of the 11 patients (64%), while the remaining 4 patients received standard external beam radiation only. Urothelial carcinoma was detected a mean of 3.07 years after completion of radiation therapy in the proton group, compared to a mean latency period of 5.75 years in the standard radiation group (p = 0.09). Average patient age at diagnosis was 72 years (range 64 to 84). All patients presented with gross hematuria and had cystoscopic findings of coexisting radiation cystitis. Of the 11 patients 5 (45%) presented with grade 3 carcinoma and eventually 7 (64%) required radical cystectomy. Urothelial tumors with sarcomatoid features (carcinosarcoma and spindle cell sarcomatoid) developed in 2 patients (18%). Of the 11 patients 10 (91%) were nonsmokers at the time of urothelial carcinoma diagnosis. Conclusions: Urothelial carcinoma in patients with previous radiation therapy for prostate cancer is often high grade, and the majority of patients have cancer progression requiring cystectomy. A high incidence of urothelial carcinoma with sarcomatoid features was seen in these patients. 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Link, Google Scholar Division of Urology, Loma Linda University Medical Center, Loma Linda, California© 2006 by American Urological AssociationFiguresReferencesRelatedDetailsCited byLuchey A, Lin H, Yue B, Agarwal G, Gilbert S, Lockhart J, Poch M, Pow-Sang J, Spiess P and Sexton W (2018) Implications of Definitive Prostate Cancer Therapy on Soft Tissue Margins and Survival in Patients Undergoing Radical Cystectomy for Bladder Urothelial CancerJournal of Urology, VOL. 194, NO. 5, (1220-1225), Online publication date: 1-Nov-2015.Kryvenko O and Epstein J (2018) Pseudocarcinomatous Urothelial Hyperplasia of the Bladder: Clinical Findings and Followup of 70 PatientsJournal of Urology, VOL. 189, NO. 6, (2083-2086), Online publication date: 1-Jun-2013.Yee D, Shariat S, Lowrance W, Sterbis J, Vora K, Bochner B, Donat S, Herr H, Dalbagni G and Sandhu J (2018) Impact of Previous Radiotherapy for Prostate Cancer on Clinical Outcomes of Patients With Bladder CancerJournal of Urology, VOL. 183, NO. 5, (1751-1756), Online publication date: 1-May-2010.Bostrom P, Soloway M, Manoharan M, Ayyathurai R and Samavedi S (2018) Bladder Cancer After Radiotherapy for Prostate Cancer: Detailed Analysis of Pathological Features and Outcome After Radical CystectomyJournal of Urology, VOL. 179, NO. 1, (91-95), Online publication date: 1-Jan-2008.Konety B (2018) Commentary on the Etiologic Relationship Between Prostate Radiation and Bladder Cancer: The Scourge for One is Poison for the OtherJournal of Urology, VOL. 179, NO. 5S, (S12-S13), Online publication date: 1-May-2008.Nieder A, Porter M and Soloway M (2018) Radiation Therapy for Prostate Cancer Increases Subsequent Risk of Bladder and Rectal Cancer: A Population Based Cohort StudyJournal of Urology, VOL. 180, NO. 5, (2005-2010), Online publication date: 1-Nov-2008.Cookson M (2018) Editorial CommentJournal of Urology, VOL. 177, NO. 3, (887-888), Online publication date: 1-Mar-2007. Volume 175Issue 6June 2006Page: 2063-2066 Advertisement Copyright & Permissions© 2006 by American Urological AssociationKeywordscarcinosarcomabladder neoplasmscarcinomaradiotherapyprostatic neoplasmsMetricsAuthor Information Satyan K. Shah Nothing to disclose. More articles by this author Paul D. Lui Nothing to disclose. More articles by this author D. Duane Baldwin Financial interest and/or other relationship with Baxter, Applied Medical, Weck, Ethicon Endo-Surgery, United States Surgical Corporation, Onset Medical and Aesculap. More articles by this author Herbert C. Ruckle Nothing to disclose. More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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