Port site metastasis in prostate cancer


  • Peter De Bruyne University Hospital of Ghent
  • Peter Schatteman OLV Aalst
  • Geert De Naeyer OLV Aalst
  • Paul Carpentier OLV Aalst
  • Alex Mottrie OLV Aalst




prostate, cancer, port-site, metastasis


Port-site metastasis of prostatic adenocarcinoma is rare and usually associated with poor prognosis. We report a case of a young man with a rising prostate-specific antigen (PSA) 4.5 years after robotassisted laparoscopic prostatectomy (RALP) and extended pelvic lymphadenectomy (ePLND) for a Gleason 7 (4+3) prostate cancer (pT3b pN0 cM0). Choline positron emission tomography-computed tomography (PET-CT) demonstrated a PET positive subcutaneous recurrence in a previous trocar site accompanied by a PET positive ipsilateral inguinal lymph node. Excision of both lesions was performed, confirming the diagnosis of metastatic prostate cancer. The patient’s PSA dropped significantly postoperatively enabling postponement of androgen deprivation treatment up to this date. The etiology of port-site metastasis is multifactorial, including patient and surgery related factors. Such metastases have been scarcely reported following ePLND with or without RALP. Certain surgical precautions can be made to prevent the occurrence. We summarize previously reported mechanisms of development and possible precautionary measures.


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How to Cite

De Bruyne, P., Schatteman, P., De Naeyer, G., Carpentier, P., & Mottrie, A. (2015). Port site metastasis in prostate cancer. Canadian Urological Association Journal, 9(5-6), E387–9. https://doi.org/10.5489/cuaj.2768



Case Report