Urothelial Carcinoma of the Prostate

Question 1

Primary treatment for MUCOSAL prostatic urethra?

Answer 1

TURP then BCG

Question 2

Primary treatments (2 options) for DUCTAL + ACINI?

Answer 2

CXR muna and abdominopelvic CT

TURP then BCG vs
CYSTOPROSTATECTOMY with or without URETHRECTOMY

Question 3

Primary treatment for STROMAL INVASION?

Answer 3

CXR muna and abdominopelvic CT

CYSTOPROSTATECTOMY with or without URETHRECTOMY with or without NEOADJUVANT CHEMOTHERAPY

Question 4

Primary treatment for metastatic disease?

Answer 4

SYSTEMIC CHEMOTHERAPY

Question 5

Therapy for recurrence in the mucosal prostatic urethra?

Answer 5

CYSTOPROSTATECTOMY with or without URETHRECTOMY

Question 6

Therapy for recurrence in the ductal + acini?

Answer 6

CYSTOPROSTATECTOMY with or without URETHRECTOMY

Question 7

Therapy for recurrence in stromal invasion?

Answer 7

May consider ADJUVANT CHEMOTHERAPY (if neoadjuvant therapy was not given)

Question 8

Workup for urothelial carcinoma of the prostate

Answer 8

DRE
Cystoscopy, inlcuding bladder biopsy
TUR biopsies of the prostate
PSA
Needle biopsy if PSA is abnormal
Imaging of the upper tract collecting system