How would you approach low grade non-invasive urothelial carcinoma arising from seminal vesicle and ejaculatory ducts with invasion into prostate?
Would radical prostatectomy and PLND suffice or would a cystectomy be warranted (even in the absence of bladder involvement) as well?
Answer from: Medical Oncologist at Academic Institution
Primary urothelial carcinoma of seminal vesicle is extremely rare. There is some skepticism whether this is a true entity. More common is the secondary spread from bladder primary. This can happen as a result of direct invasion through bladder wall or via mucosal spread. Formal is staged as T4 disea...
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