| Autor: |
Tamayo-Jover MA; Servicio de Urología. Hospital Universitario de Canarias. Sta. Cruz de Tenerife. Canarias. España., González Álvarez RJ; Servicio de Urología. Hospital Universitario de Canarias. Sta. Cruz de Tenerife. Canarias. España., Nazco Deroy Á; Servicio de Anatomía patológica. Hospital Universitario Nuestra Señora de Candelaria. Sta. Cruz de Tenerife. Canarias. España., Plata Bello AC; Servicio de Urología. Hospital Universitario de Canarias. Sta. Cruz de Tenerife. Canarias. España., Álvarez-Arguelles H; Servicio de Anatomía patológica. Hospital Universitario de Canarias. Sta. Cruz de Tenerife. Canarias. España., García Álvarez C; Servicio de Urología. Hospital Universitario de Canarias. Sta. Cruz de Tenerife. Canarias. España., Jimenez Sosa A; Departamento de estadística. Hospital Universitario de Canarias. Sta. Cruz de Tenerife. Canarias. España., Castro-Díaz DM; Servicio de Urología. Hospital Universitario de Canarias. Sta. Cruz de Tenerife. Canarias. España., Concepción Masip T; Servicio de Urología. Hospital Universitario de Canarias. Sta. Cruz de Tenerife. Canarias. España. |
| Jazyk: |
English; Spanish; Castilian |
| Zdroj: |
Archivos espanoles de urologia [Arch Esp Urol] 2020 Sep; Vol. 73 (7), pp. 593-599. |
| Abstrakt: |
Objective: Perform a detailed anatomopathological analysis of consecutive surgical specimens in men with clinically very low risk prostate cancer according to National Comprehensive Cancer Network (NCCN) criteria.MATERIALS AND METHODS: The study included 799 prostate cancer patients who under went radical prostatectomy between January 2005 and December 2013. We identified 81 consecutive patients with clinically very low risk prostate cancer. The slides of the patients who fulfilled the inclusion criteria were re-reviewed. The parameters studied were: pathological stage, histological grade by Gleason score (GSS), margins involvement, tumor percentage (PT), and number of apparently independent tumor foci (FT). RESULTS: The patients had organ-confined tumors in almost all of them (pT2: 97.5%). Most of the cancers studied were bilateral (pT2c: 67.9%), multifocal (FT≥2:88.8%), with a low tumor percentage (PTand with a low Gleason Score (GSS≤6: 91,3%). Non-confined disease: 2.5%, all cases extra-prostatic extension (pT3a). GSS>6: 8,6%, all cases GSS7 (3+4). CONCLUSIONS: The NCCN criteria for very low risk prostate cancer help to make a good selection of non-aggressive tumors and are a useful tool for including patients in an active surveillance program. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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