EMBRYONAL RHABDOMYOSARCOMA OF THE PROSTAT E-GLAND - THERAPEUTIC OPTIONS AND INTERDISCIPLINARY MANAGEMENT

Rhabdomyosarcoma of the prostate gland is rare, representing approxima tely only 0.1% of the primary neoplasias of the prostate gland. On pri nciple, treatment should be interdisciplinary. An own case is presente d and the therapeutical procedure and available treatment modalities a re discussed: The young patient presented with local advanced tumor di sease, but without lymphnode or organ metastasis. Following histopatho logical clarification, the patient underwent preoperative combined che mo- and radiotherapy analogous to the CWS-86 protocol. Due to insuffic ient tumor response according to the VAIA scheme, chemotherapy was cha nged to the PIAV scheme. After completing preoperative chemo/radiother apy, the patient underwent radical prostatectomy without cystectomy an d has been without evidence of disease up to now 4 years and 5 months after initial diagnosis. Interdisciplinary therapeutical management se ems to ensure better survival rates and quality of life in patients wi th rhabdomyosarcoma of the urogenital system.