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Related Experiment Video

Updated: Nov 17, 2025

Renal Capsule Xenografting and Subcutaneous Pellet Implantation for the Evaluation of Prostate Carcinogenesis and Benign Prostatic Hyperplasia
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Peritricuspid annular prostate pellet.

Bryan O'Sullivan1, Richard Tanner2, Peter Kelly1

  • 1Cardiology Department, Cork University Hospital Group, Cork, Ireland.

BMJ Case Reports
|February 12, 2021
PubMed
Summary
This summary is machine-generated.

A misplaced brachytherapy pellet in the heart ventricle did not cause symptoms in a prostate cancer patient. The pellet remained in place without affecting the patient, who experienced no complications.

Keywords:
cardiovascular medicineprostate cancerradiotherapyurology

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Area of Science:

  • Cardiology
  • Urology
  • Medical Imaging

Background:

  • Prostate adenocarcinoma is a common cancer in older men.
  • Brachytherapy is a localized radiation therapy technique used for prostate cancer treatment.
  • Monitoring treatment efficacy and potential complications requires regular follow-up imaging.

Observation:

  • A 75-year-old male patient treated for prostate adenocarcinoma via brachytherapy.
  • A routine chest radiograph revealed an unexpected metallic object in the right ventricle.
  • Subsequent imaging confirmed the object as a brachytherapy pellet lodged in the right ventricular endocardium near the tricuspid valve.

Findings:

  • The misplaced brachytherapy pellet was asymptomatic.
  • Premature ventricular contractions were noted but were not attributed to the pellet's location.
  • The pellet's position remained stable over time, with no observed migration.

Implications:

  • This case highlights the importance of vigilant post-procedure monitoring in brachytherapy patients.
  • It suggests that asymptomatic, stable intra-cardiac foreign bodies may not necessitate immediate intervention.
  • Further research could explore long-term outcomes and optimal management strategies for such incidental findings.