Importance of Reporting the Gleason Score at the Positive Surgical Margin Site: Analysis of 4,082 Consecutive Radical Prostatectomy Cases

摘要: Purpose: Since 2010 pathologists at our institution have routinely been documenting the Gleason score margin and length of positive surgical after prostatectomy. In this study we evaluate how correlate with grade adverse pathological characteristics final specimen, whether affects risk early biochemical recurrence.Materials Methods: A total 4,082 consecutive patients undergoing radical prostatectomy pelvic lymph node dissection between 2014 for localized prostate cancer were included in study, whom 405 had a 7 or greater primary nodule recorded margin. Concordance rates specimen compared. Logistic regression models used to predict unfavorable pathology. Cox p...