Expectant management of nonpalpable prostate cancer with curative intent: Preliminary results

摘要: Purpose: We evaluate a strategy of expectant management for men with stage T1c prostate cancer.Materials and Methods: A total 81 (median age 65 years, range 52 to 72) cancer who were thought have small volume based on needle biopsy findings specific antigen (PSA) density followed more than 1 year semiannual PSA digital rectal examination, annual biopsies followup 23 months, 12 58). recommendation treatment was made if disease progression indicated by unfavorable (Gleason pattern 4 or 5, greater 2 cores cancer, 50% involvement any core cancer). Curable defined pathological examination radical prostatectomy specimens as 1) organ confined Gleason score 7 less, 2) extraprostatic extension (3+4) less negative margins, seminal vesicles lymph nodes, or...