THE PROSTATE INVOLVEMENT AS PROGNOSTIC FACTOR IN PATIENTS WITH SUPERFICIAL BLADDER-TUMORS

被引:39
作者
SOLSONA, E [1 ]
IBORRA, I [1 ]
RICOS, JV [1 ]
MONROS, JL [1 ]
CASANOVA, JL [1 ]
ALMENAR, S [1 ]
机构
[1] INST VALENCIANO ONCOL,DEPT PATHOL,VALENCIA,SPAIN
关键词
BLADDER NEOPLASMS; CARCINOMA IN SITU; PROGNOSIS; CYSTECTOMY; PROSTATECTOMY;
D O I
10.1016/S0022-5347(01)66762-4
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
Purpose: The prognostic value of prostate involvement in patients with superficial bladder cancer was analyzed. Materials and Methods: We studied 96 patients with prostate involvement. Taking progression-free survival rate as an end point; univariate and multivariate analyses were done. Results: The presence or absence of bladder carcinoma in situ is related to poor and good prognoses, respectively (p < 0.001). Stromal invasion (p < 0.001) and pan-urothelial involvement (p = 0.03) were also identified as independent factors of poor prognosis. Conclusions: Patients with tumor limited to the mucosa can be treated conservatively. Cystoprostatectomy can be performed in patients with ductal involvement. The prognosis of patients with stromal invasion is poor despite radical treatment.
引用
收藏
页码:1710 / 1713
页数:4
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