Bladder Cancer Invading the Prostate and Penis and Multiple Bone Metastases Showing Significant Improvement after a Short-Term Pembrolizumab Therapy following Radiation and Gemcitabine and Cisplatin Therapy Leading to a Pathologically Complete Remission

A 65-year-old man was diagnosed with bladder cancer invading the prostate and penis and multiple bone metastases. He underwent palliative radiation (30 Gy/10 fr) through vertebral bones (Th3 and Th12-L5) and pelvic bones for pain control. The patient received pembrolizumab therapy after three course...

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Main Authors: Kyohei Ishida, Akira Ogose, Gen Kawaguchi, Go Hasegawa, Yohei Ikeda, Noboru Hara, Tsutomu Nishiyama
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2024/7525757
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author Kyohei Ishida
Akira Ogose
Gen Kawaguchi
Go Hasegawa
Yohei Ikeda
Noboru Hara
Tsutomu Nishiyama
author_facet Kyohei Ishida
Akira Ogose
Gen Kawaguchi
Go Hasegawa
Yohei Ikeda
Noboru Hara
Tsutomu Nishiyama
author_sort Kyohei Ishida
collection DOAJ
description A 65-year-old man was diagnosed with bladder cancer invading the prostate and penis and multiple bone metastases. He underwent palliative radiation (30 Gy/10 fr) through vertebral bones (Th3 and Th12-L5) and pelvic bones for pain control. The patient received pembrolizumab therapy after three courses of gemcitabine and cisplatin therapy. CT four weeks after starting pembrolizumab therapy showed that both the primary and metastatic lesions had notably reduced in size, and no new lesion was detected. He subsequently fell, resulting in a femoral neck pathological fracture, and underwent hemiarthroplasty. Pathological examination of the pathological fracture site revealed no residual tumor tissue.
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institution Kabale University
issn 2090-6978
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publishDate 2024-01-01
publisher Wiley
record_format Article
series Case Reports in Urology
spelling doaj-art-82035375c6f248af85eb47d25b4c81fa2025-02-03T06:15:14ZengWileyCase Reports in Urology2090-69782024-01-01202410.1155/2024/7525757Bladder Cancer Invading the Prostate and Penis and Multiple Bone Metastases Showing Significant Improvement after a Short-Term Pembrolizumab Therapy following Radiation and Gemcitabine and Cisplatin Therapy Leading to a Pathologically Complete RemissionKyohei Ishida0Akira Ogose1Gen Kawaguchi2Go Hasegawa3Yohei Ikeda4Noboru Hara5Tsutomu Nishiyama6Department of UrologyDepartment of Orthopedic SurgeryDepartment of RadiotherapyDepartment of PathologyDepartment of Diagnostic RadiologyDepartment of UrologyDepartment of UrologyA 65-year-old man was diagnosed with bladder cancer invading the prostate and penis and multiple bone metastases. He underwent palliative radiation (30 Gy/10 fr) through vertebral bones (Th3 and Th12-L5) and pelvic bones for pain control. The patient received pembrolizumab therapy after three courses of gemcitabine and cisplatin therapy. CT four weeks after starting pembrolizumab therapy showed that both the primary and metastatic lesions had notably reduced in size, and no new lesion was detected. He subsequently fell, resulting in a femoral neck pathological fracture, and underwent hemiarthroplasty. Pathological examination of the pathological fracture site revealed no residual tumor tissue.http://dx.doi.org/10.1155/2024/7525757
spellingShingle Kyohei Ishida
Akira Ogose
Gen Kawaguchi
Go Hasegawa
Yohei Ikeda
Noboru Hara
Tsutomu Nishiyama
Bladder Cancer Invading the Prostate and Penis and Multiple Bone Metastases Showing Significant Improvement after a Short-Term Pembrolizumab Therapy following Radiation and Gemcitabine and Cisplatin Therapy Leading to a Pathologically Complete Remission
Case Reports in Urology
title Bladder Cancer Invading the Prostate and Penis and Multiple Bone Metastases Showing Significant Improvement after a Short-Term Pembrolizumab Therapy following Radiation and Gemcitabine and Cisplatin Therapy Leading to a Pathologically Complete Remission
title_full Bladder Cancer Invading the Prostate and Penis and Multiple Bone Metastases Showing Significant Improvement after a Short-Term Pembrolizumab Therapy following Radiation and Gemcitabine and Cisplatin Therapy Leading to a Pathologically Complete Remission
title_fullStr Bladder Cancer Invading the Prostate and Penis and Multiple Bone Metastases Showing Significant Improvement after a Short-Term Pembrolizumab Therapy following Radiation and Gemcitabine and Cisplatin Therapy Leading to a Pathologically Complete Remission
title_full_unstemmed Bladder Cancer Invading the Prostate and Penis and Multiple Bone Metastases Showing Significant Improvement after a Short-Term Pembrolizumab Therapy following Radiation and Gemcitabine and Cisplatin Therapy Leading to a Pathologically Complete Remission
title_short Bladder Cancer Invading the Prostate and Penis and Multiple Bone Metastases Showing Significant Improvement after a Short-Term Pembrolizumab Therapy following Radiation and Gemcitabine and Cisplatin Therapy Leading to a Pathologically Complete Remission
title_sort bladder cancer invading the prostate and penis and multiple bone metastases showing significant improvement after a short term pembrolizumab therapy following radiation and gemcitabine and cisplatin therapy leading to a pathologically complete remission
url http://dx.doi.org/10.1155/2024/7525757
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