Interval from transurethral resection of prostate to laparoscopic radical prostatectomy does not affect outcomes for incidental prostate cancer

Aim: To identify the rate of incidental prostate cancer in patients undergone Transurethral resection of prostate(TURP) over a period of 5 years in our center. Methods: A Retrospective review was conducted using Histopathological department database on all TURP specimens over a period of 5 years from January 2015 to December 2019. Results: Out of 570 cases of TURP during our study period, 1.9% had incidental prostate cancer. Most of these positive cases had a Gleasons score of 10, which represent poorly differentiated Adenocarcinoma. Conclusion: The value of pathologic review of TURP specimens is limited but a detailed review helps to reduce under detection of prostate cancer.

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Retrospective Study of Laparoscopic Radical Prostatectomy for Localized Prostate Cancer after Transurethral Resection of the Prostate Compared with Retropubic Radical Prostatectomy at the Same Institution

Journal of Nippon Medical School ◽

10.1272/jnms.79.416 ◽

2012 ◽

Vol 79 (6) ◽

pp. 416-421

Author(s):

Yasutomo Suzuki ◽

Ichiro Matsuzawa ◽

Tsutomu Hamasaki ◽

Go Kimura ◽

Yukihiro Kondo

Keyword(s):

Prostate Cancer ◽

Retrospective Study ◽

Radical Prostatectomy ◽

Transurethral Resection ◽

Laparoscopic Radical Prostatectomy ◽

Localized Prostate Cancer ◽

Retropubic Radical Prostatectomy

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Histomorphological spectrum of prostatic lesions: a retrospective analysis of transurethral resection of prostate specimens

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20172095 ◽

2017 ◽

Vol 5 (6) ◽

pp. 2373 ◽

Cited By ~ 1

Author(s):

Anuja Sharma ◽

Mahima Sharma ◽

Shivani Gandhi ◽

Arvind Khajuria ◽

K. C. Goswami

Keyword(s):

Prostate Cancer ◽

Transurethral Resection ◽

Intraepithelial Neoplasia ◽

Premalignant Lesions ◽

Transurethral Resection Of Prostate ◽

Incidental Prostate Cancer ◽

Mortality And Morbidity ◽

Graduate Department ◽

Causes Of Mortality ◽

Prostatic Diseases

Background: Prostatic diseases like inflammation, benign prostatic hyperplasia and tumors are important causes of mortality and morbidity in males. The incidence of these lesions increases with advancing age. The second most common cancer among males is prostate cancer, next to lung cancer worldwide. Transurethral resection of prostate (TURP) is most frequently preformed surgical procedure in the clinical practice. The purpose of the study is to evaluate histomorphological spectrum of prostate lesions in TURP specimen with focus on premalignant lesions and incidental carcinomas.Methods: The present study includes 245 cases of TURP specimen from January 2015 to December 2016 received in the post graduate department of pathology, ASCOMS and Hospital. H and E stained sections were examined. The relevant clinical details pertaining to age, clinical complaints and microscopic details were analysed and compared with other similar studies.Results: Of the total 245 TURP specimen, 223 (91.02%) were of nodular hyperplasia, 14 (5.71%) were of prostatic intraepithelial neoplasia and 8 (3.26%) cases were malignant. Benign hyperplasia of prostate (BHP) alone accounted for 91.02% of TURP specimen. Less frequent findings were granulomatous prostatitis in 3.70% and atypical adenomatous hyperplasia (1.22%). All the 8 cases of prostate cancer were incidental carcinoma, 5 of which were poorly differentiated and 3 were moderately differentiated adenocarcinoma.Conclusions: The present study showed that non-neoplastic lesions of prostate are more common than neoplastic ones. The most frequently encountered prostatic lesion was BHP, commonly seen in the age group of 61-70 years. The malignant lesions were common among the males of more than 60 years. TURP can be helpful in early identification of premalignant lesions and incidental prostate cancer which can improve the treatment outcome of patients.

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