Characteristics and oncological outcome of clinical T3a prostate cancer patients undergoing radical prostatectomy in multi-parametric MRI era

2018 ◽  
Vol 17 (2) ◽  
pp. e232
Author(s):  
S. Yamamoto ◽  
T. Yamamoto ◽  
H. Masuda ◽  
N. Numao ◽  
M. Ogawa ◽  
...  
2020 ◽  
Author(s):  
Kasumi Yoshitomi ◽  
Shinya Yamamoto ◽  
Tatsuya Yamamoto ◽  
Eri Fukagawa ◽  
Kosuke Hamada ◽  
...  

Abstract We aimed to reveal the association between the method of diagnosis (multi-parametric magnetic resonance imaging [mpMRI] and digital rectal examination [DRE]) and oncological outcomes of patients with clinical T3a (cT3a) prostate cancer after radical prostatectomy (RP) and stratify them according to oncological risk. We included 132 cT3a prostate cancer patients who underwent RP between 2008 and 2018. The biochemical recurrence (BCR)-free survival rate was evaluated according to the method of diagnosis (mpMRI alone; mpMRI group vs. DRE [with or without mpMRI]; DRE group). Several preoperative factors were evaluated in the multivariate analysis. Patients were divided into risk groups by our prediction model. The mpMRI group had significantly longer BCR-free survival than the DRE group (p<0.0001). The method of diagnosis (hazard ratio [HR]=2.69; 95% confidence interval [CI] 1.45-5.06; p=0.0017) and % positive cores (HR=4.36; 95% CI 1.14-16.5; p=0.031) were independent prognostic factors. Patients were divided into three risk groups based on these factors. There was a significant difference in BCR-free survival rate among the groups (p=0.0002).The method of diagnosis of cT3a prostate cancer was associated with BCR-free survival, and we categorized patients into risk groups. These assessments were attributable to the appropriate therapeutic strategy for patients with cT3a prostate cancer.


2020 ◽  
Vol 38 (10) ◽  
pp. 559-564 ◽  
Author(s):  
Nobuaki Sato ◽  
Masaki Shiota ◽  
Ken-ichiro Shiga ◽  
Eiji Kashiwagi ◽  
Ario Takeuchi ◽  
...  

Urology ◽  
2019 ◽  
Vol 131 ◽  
pp. 166-175 ◽  
Author(s):  
Tian Lan ◽  
Ye Chen ◽  
QinJun Su ◽  
JianJun Ye

2007 ◽  
Vol 177 (4S) ◽  
pp. 130-130
Author(s):  
Markus Graefen ◽  
Jochen Walz ◽  
Andrea Gallina ◽  
Felix K.-H. Chun ◽  
Alwyn M. Reuther ◽  
...  

2006 ◽  
Vol 175 (4S) ◽  
pp. 511-511 ◽  
Author(s):  
Thomas Steuber ◽  
Anne Brieger ◽  
Andreas Erbersdobler ◽  
Sascha Ahyai ◽  
Markus Graefen ◽  
...  

2005 ◽  
Vol 173 (4S) ◽  
pp. 222-222 ◽  
Author(s):  
Adam S. Kibel ◽  
Joel Picus ◽  
Michael S. Cookson ◽  
Bruce Roth ◽  
David F. Jarrard ◽  
...  

2006 ◽  
Vol 175 (4S) ◽  
pp. 70-71
Author(s):  
Fernando P. Secin ◽  
Clément-Claude Abbou ◽  
Inderbir S. Gill ◽  
Georges Fournier ◽  
Thierry Piéchaud ◽  
...  

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