Characterizing prostatic adenocarcinomas in men with a serum prostate specific antigen level of <4.0 ng/mL

Autor: Charles B. Brendler, Mitchell H. Sokoloff, Michael J. Fumo, D. Mhoon, Ximing J. Yang
Rok vydání: 2004
Předmět:
Zdroj: BJU International. 93:499-502
ISSN: 1464-410X
1464-4096
Popis: OBJECTIVE To characterize prostate cancer in men undergoing radical prostatectomy who have a prostate-specific antigen (PSA) level of 0.75 ng/mL/year (12%), a strong family history of prostate cancer (3%), obstructive urinary symptoms (2%), or no obvious indication (23%). Thirty-eight (48%) tumours were clinically insignificant. Of 41 clinically significant cancers, 13 had a final Gleason score of ≥ 7, 20 had extraprostatic extension and 11 had a tumour volume of ≥ 10 mL. Of the 79 prostate cancer specimens 78 stained strongly for PSA; the exception was a Gleason 9 tumour. With a mean (range) follow-up of 3.5 (0.18–6) years only one patient had a biochemical recurrence (PSA ≥ 0.1 ng/mL). CONCLUSIONS Most prostate cancers in men with a PSA level of
Databáze: OpenAIRE