Yaşlı bir erkekte prostat biyopsisi sonrası gelişen zor ve nadir iki komplikasyon

Öz

Prostat kanseri erkeklerde ikinci sıklıkta görülen kanser tipi olmasına rağmen mortalite hızı düşüktür. Avrupa Randomize Prostat Kanser Tarama çalışmasında; prostat spesifik antijen ile taramada 13 yıllık takipte mortalitede belirgin düşüş sağlanmasına rağmen fayda ve zararları arasındaki belirsiz denge nedeniyle prostat spesifik antijen ile genel toplum taraması önerilmemiştir. Vakamızda; üriner semptomlar nedeniyle prostat biyopsisi yapıldıktan sonra enfektif endokardit ve spondilodiskit gelişti ve bu komplikasyonlara yönelik iki ciddi operasyon planlandı, uzun ve ciddi bir antibiyoterapi süreci ile antibiyoterapiye bağlı yan etkiler ortaya çıktı. Bu vaka ışığında, klinisyenlerin asemptomatik erkeklerde tarama yaparken veya prostat biyopsisi kararı verirken bu komplikasyonları göz önünde bulundurmaları önerilir.

Anahtar Kelimeler

• Yaşlı hasta,Prostat kanseri,İnfektif endokardit

Rare and challenging two complications after prostate biopsy of an older man

Abstract

Although prostate cancer is the second most common cancer type in men, its mortality rate is lower. Despite European Randomized Study of Screening for Prostate Cancer study reported that screening with prostate-specific antigen made a substantial reduction in prostate cancer mortality at 13 years of follow-up; they do not recommend population screening with prostate specific antigen because of the uncertain balance between benefits and harms. In our case, prostate biopsy was performed because of urinary symptoms but two severe operation planned due to infective endocarditis and spondylitis, a long and serious antibiotherapy process and its side effects were occurred after prostate biopsy. In light of this case, clinicians should consider that prostate biopsy may cause serious complications when they are screening asymptomatic men for prostate cancer or deciding whether or not to have a prostate biopsy.

Keywords

• Older patient,Prostate cancer,Infective endocarditis

Kaynakça

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