TY - JOUR
T1 - An uncommon cause of dysuria solved by "boom-boom" radiotherapy
AU - Mazeron, R.
AU - Bosq, J.
AU - Rivin del Campo, E.
AU - Arfi-Rouche, J.
AU - Boros, A.
AU - Ghez, D.
N1 - Publisher Copyright:
© 2016 Société française de radiothérapie oncologique (SFRO).
PY - 2016/4/1
Y1 - 2016/4/1
N2 - 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.
AB - 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.
KW - CLL
KW - Dysuria
KW - Low-dose radiotherapy
KW - Prostate
UR - http://www.scopus.com/inward/record.url?scp=84959871150&partnerID=8YFLogxK
U2 - 10.1016/j.canrad.2015.12.001
DO - 10.1016/j.canrad.2015.12.001
M3 - Article
C2 - 26971221
AN - SCOPUS:84959871150
SN - 1278-3218
VL - 20
SP - 115
EP - 118
JO - Cancer/Radiotherapie
JF - Cancer/Radiotherapie
IS - 2
ER -