Local Recurrence of Prostate Cancer to the Intersphincteric Space: A Case Report

Abstract

The patient is an otherwise-healthy 69-year-old Caucasian male with a history of prostate cancer who underwent uncomplicated robot-assisted laparoscopic prostatectomy. Following the prostatectomy, his tumor was histologically assessed a Gleason score of 4 + 3, with areas of cribriform pattern, pathologic stage T2 (tumor confined within the prostate) and was removed with free surgical margins (R0). One year later, the patient presented to a genitourinary cancer clinic with biochemical recurrence with elevated prostate-specific antigen (PSA) levels from postoperatively undetectable to 0.17 ng/mL at a 1-year follow-up and 0.37 ng/mL 6 months later.