Evaluation of pathology results after radical prostatectomy for prostate cancer despite „normal“ values of PSA from the viewpoint of a urologist
Authors:
Jan Schraml 1; Marek Broul 1; Martin Čegan 2; Karel Hrach 3
Authors place of work:
Oddělení urologie a Centrum robotické chirurgie, Masarykova nemocnice v Ústí nad Labem, Krajská zdravotní, a. s.
1; Oddělení patologické anatomie, Masarykova nemocnice v Ústí nad Labem, Krajská zdravotní, a. s.
2; Fakulta zdravotnických studií, Univerzita J. E. Purkyně v Ústí nad Labem
3
Published in the journal:
Ces Urol 2013; 17(2): 118-123
Category:
Original article
Summary
Aim:
Urologist’s evaluation of pathology results after radical prostaterectonomy for prostate cancer of patients with “normal” pre-operative values of PSA.
Material and method:
In the course of the 4.5 years (August 22, 2008 – November 7, 2012), we have carried out 758 robot assisted radical prostatectomies in patients with histologicaly confirmed prostate carcinomas. In this group there were 95 patients with pre-operative PSA values under 3.5 ng/ml. In retrospective analysis we documented that in this group of patients whose pre-surgical classification was cT1M0N0, according to post-surgical pathology 12.63% had locally advanced tumor (pT3a, b) and 83.15% had the tumor in both prostate lobes (pT2c). Similarly, a significant upward shift in Gleason Score (GS) was recorded.
Results:
Owerall evaluation of the risk according to pT and GS, the post-operative data showed pronounced shift into a higher risk group.
Conclusion:
This study group included mostly younger patients, seeking urology evaluation and screening for prostate cancer, or those who were identified in the early stage of illness.
Key words:
prostate cancer, radical prostatectomy, robot assisted radical prostatectomy, PSA.
Zdroje
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Štítky
Paediatric urologist Nephrology UrologyČlánok vyšiel v časopise
Czech Urology
2013 Číslo 2
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