Academic Journal
Clinical Experiences of Incidental Prostate Cancer after Transurethral Resection of Prostate (TURP) According to Initial Treatment: A Study of a Korean High Volume Center
| Τίτλος: | Clinical Experiences of Incidental Prostate Cancer after Transurethral Resection of Prostate (TURP) According to Initial Treatment: A Study of a Korean High Volume Center |
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| Συνεισφορές: | Dong Hoon Lee, Doo Yong Chung, Kwang-suk Lee, In Kyong Kim, Koon Ho Rha, Young Deuk Choi, Byung Ha Chung, Sung Joon Hong, Jang Hwan Kim, Kim, Jang Hwan, Rha, Koon Ho, Chung, Byung Ha, Choi, Young Deuk, Hong, Sung Joon |
| Πηγή: | T201400800.pdf |
| Έτος έκδοσης: | 2014 |
| Θεματικοί όροι: | Aged, Humans, Korea, Male, Middle Aged, Prostatectomy, Prostatic Neoplasms/surgery, Retrospective Studies, Transurethral Resection of Prostate/mAged, Transurethral Resection of Prostate/methods*ds, Incidental prostate cancer, active surveillance, radical prostatectomy |
| Περιγραφή: | PURPOSE: These are the clinical experiences of Korean incidental prostate cancer patients detected by transurethral resection of the prostate according to initial treatment: active surveillance (AS), radical prostatectomy (RP) and hormone therapy (HT). MATERIALS AND METHODS: We retrospectively reviewed the records of 156 incidental prostate cancer patients between 2001 and 2012. The clinicopathologic outcomes were reviewed and follow-up results were obtained. RESULTS: Among 156 patients, 97 (62.2%) had T1a and 59 (37.8%) had T1b. Forty-six (29.5%) received AS, 67 (42.9%) underwent RP, 34 (21.8%) received HT, 4 (2.6%) received radiotherapy, and 5 (3.2%) chose watchful waiting. Of 46 patients on AS, prostate-specific antigen (PSA) progression occurred in 12 (26.1%) patients. Among them, 3 patients refused treatment despite PSA progression. Five patients, who underwent RP as an intervention, all had organ-confined Gleason score ≤6 disease. In 67 patients who underwent RP, 50 (74.6%) patients had insignificant prostate cancer and 8 (11.9%) patients showed unfavorable features. During follow-up, biochemical recurrence occurred in 2 patients. Among 34 patients who received HT, 3 (8.8%) patients had PSA progression. Among 156 patients, 6 patients died due to other causes during follow-up. There were no patients who died due to prostate cancer. CONCLUSION: The clinical outcomes of incidental prostate cancer were satisfactory regardless of the initial treatment. However, according to recent researches and guidelines, immediate definite therapy should be avoided without a careful assessment. We also believe that improved clinical staging is needed for these patients. ; open |
| Τύπος εγγράφου: | article in journal/newspaper |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | unknown |
| Relation: | YONSEI MEDICAL JOURNAL; J02813; https://ir.ymlib.yonsei.ac.kr/handle/22282913/98385; T201400800; 56566 |
| DOI: | 10.3349/ymj.2014.55.1.78 |
| Διαθεσιμότητα: | https://ir.ymlib.yonsei.ac.kr/handle/22282913/98385 https://doi.org/10.3349/ymj.2014.55.1.78 |
| Rights: | CC BY-NC-ND 2.0 KR ; https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ |
| Αριθμός Καταχώρησης: | edsbas.B7D8923B |
| Βάση Δεδομένων: | BASE |
| DOI: | 10.3349/ymj.2014.55.1.78 |
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