NATIONAL PATTERNS OF PROSTATE-CANCER TREATMENT BY RADICAL PROSTATECTOMY - RESULTS OF A SURVEY BY THE AMERICAN-COLLEGE-OF-SURGEONS COMMISSION-ON-CANCER

被引:137
作者
MURPHY, GP
METTLIN, C
MENCK, H
WINCHESTER, DP
DAVIDSON, AM
机构
[1] ROSWELL PK CANC INST,BUFFALO,NY
[2] AMER COLL SURGEONS,COMMISS CANC,CHICAGO,IL
[3] AMER COLL SURGEONS,COMMISS CANC,NATL CANC REGISTRARS ASSOC LIAISON,NEW MEXICO TUMOR REGISTRY,ALBUQUERQUE,NM
关键词
PROSTATIC NEOPLASMS; PROSTATECTOMY; TREATMENT PROTOCOLS;
D O I
10.1016/S0022-5347(17)32392-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
To evaluate the patterns of use of radical prostatectomy for the treatment of prostate cancer in the United States, the American College of Surgeons Commission on Cancer in association with the American Cancer Society and American Urological Association surveyed 484 institutions concerning 2,122 patients treated in 1990. The results revealed that 93% of the patients were younger than 75 years when treated. Pretreatment prostate specific antigen level was greater than 4.0 ng./ml. in 85.4% of the patients. Surgical-pathological evaluation showed that 57.5% of the patients treated had American Joint Committee on Cancer pathological stages 0, I and II corresponding to American Urological Association stages A1 to B2. Positive pathological findings, for example microscopic tumor extension or invasion, were associated with elevated prostate specific antigen levels at followup. The mortality rate associated with the operation was 0.7%. Impotence following treatment was observed in 56.6% of the patients who were potent preoperatively and complete incontinence was reported in 3.6% of the patients who were previously continent. The data may provide benchmarks by which further trends in prostate cancer treatment may be compared.
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页码:1817 / 1819
页数:3
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