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Author
Kojima, Katsuhide Department of Radiology, Okayama University Hospital
Takahashi, Yuka Department of Radiology, Okayama University Hospital
Sugiyama, Soichi Department of Proton Beam Therapy, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Asano, Yudai Department of Radiology, Okayama University Hospital
Okawa, Nanako Department of Radiology, Okayama University Hospital
Makimoto, Satoko Department of Radiology, Okayama University Hospital
Higaki, Fumiyo Department of Radiology, Okayama University Hospital
Iguchi, Toshihiro Department of Radiological Technology, Faculty of Health Sciences, Okayama University Kaken ID
Hiraki, Takao Department of Radiology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Kaken ID publons researchmap
Abstract
A 67-year-old man was referred to our hospital for the diagnosis and treatment of prostate cancer. Multidisciplinary discussion led to intensity-modulated radiotherapy preceded by hormone therapy. Before radiotherapy, a biodegradable hydrogel spacer (HS) was placed between the prostate and rectum to reduce radiation injury risk. Three weeks postplacement, pelvic magnetic resonance imaging revealed HS migration into the pelvic vein. Subsequent whole-body contrast-enhanced computed tomography (CECT) revealed HS migration into the pulmonary artery. The patient showed no symptoms or clinical signs. Radiotherapy was completed uneventfully. Complete absorption of the migrated HS was confirmed using CECT images 5 months postplacement.
Keywords
hydrogel spacer
prostate cancer
radiotherapy
pulmonary embolism
Amo Type
Case Report
Publication Title
Acta Medica Okayama
Published Date
2023-12
Volume
volume77
Issue
issue6
Publisher
Okayama University Medical School
Start Page
647
End Page
650
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
English
Copyright Holders
Copyright Ⓒ 2023 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT