An uncommon cause of dysuria solved by "boom-boom" radiotherapy.

Abstract

BACKGROUND:

Chronic lymphocytic leukaemia is a common disease affecting the hematopoietic organs. The disease remains classically indolent for years preceding a blast crisis. However, the disease can affect all parts of the body. We report here an unusual localization.

CASE PRESENTATION:

A 72-year-old man was followed for 2 years for an indolent chronic lymphocytic leukaemia while he presented a rapidly progressive dysuria. Prostate biopsies were performed concluding to a prostate involvement by the chronic lymphocytic leukaemia. In the absence of progression according to RAI staging system and Binet's classification, he was treated with local low-dose radiotherapy, twice 2 Gy, allowing for a rapid resolution of the symptoms. No systemic treatment was introduced, and 1 year after the completion of his treatment, he is still under watchful waiting strategy for his chronic lymphocytic leukaemia.

CONCLUSION:

Low-dose radiotherapy is an underused effective strategy in indolent lymphoma. In this case, urinary symptoms from a prostate involvement were relieved non-invasively at low cost.

• Authors: R Mazeron, J Bosq, E Rivin del Campo, J Arfi-Rouche, A Boros, D Ghez
• Journal: Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique (Cancer Radiother) Vol. 20 Issue 2 Pg. 115-8 (Apr 2016) ISSN: 1769-6658 [Electronic] France
• PMID: 26971221 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2016 Société française de radiothérapie oncologique (SFRO). Published by Elsevier SAS. All rights reserved.

Topics

• Aged
• Dysuria (etiology)
• Humans
• Leukemia, Lymphocytic, Chronic, B-Cell (complications, radiotherapy)
• Male
• Prostatic Neoplasms (complications, radiotherapy)
• Radiotherapy Dosage