• Urology · Feb 1991

    Pulmonary embolization of iodine-125 seeds following prostate implantation.

    • A D Steinfeld, B R Donahue, and L Plaine.
    • Division of Radiation Oncology, New York University Medical Center, New York.
    • Urology. 1991 Feb 1; 37 (2): 149-50.

    AbstractThe optimal treatment of prostatic carcinoma limited to the gland remains controversial. Treatment has included implantation of Iodine-125 seeds via both a suprapubic approach and, more recently, a transperineal technique utilizing ultrasound guidance. We recently have noted a heretofore unreported complication with this latter technique, namely, embolization of seeds to the lungs. Review of the chest x-ray films of 31 patients who underwent suprapubic implants showed no evidence of this phenomenon. One of 5 patients undergoing transperineal implant was found to have seeds lodged in the lung. Complications surrounding the various treatments of localized prostate carcinoma are reviewed.

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