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Predictive Factors for Biochemical Recurrence in Radical Prostatectomy Patients

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Specialty Urology
Date 2016 Feb 9
PMID 26855791
Citations 3
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Abstract

Introduction: Radical prostatectomy (RP) is considered the best treatment for the management of localized prostate cancer in patients with life expectancy over 10 years. However, a complete recovery is not guaranteed for all patients who received/underwent RP treatment. Biochemical recurrence is frequently observed during the post-operative follow-up period. The main objective in this study is to evaluate the predictive factors of biochemical recurrence in localized prostate cancer patients who underwent RP surgery.

Material And Methods: The study included 352 patients with prostate cancer treated by RP at a single institution between February 2004 and June 2014. Detailed pathological and follow-up data of all patients were obtained and analyzed to determine the results.

Results: Mean follow-up duration was 39.7 months. 83 patients (23%) experienced biochemical recurrence (BCR) during the follow-up period. Mean BCR duration range was 6.56 (1-41) months. In multivariate logistic regression analysis, Gleason score (GS), PSA and extra-capsular tumour spread (ECS) variables were found to be statistically significant as BCR predictive factors.

Conclusions: According to our study results, it is thought that PSA, GS and ECS can all be used for guidance in choosing a treatment modality for post-RP biochemical recurrence and metastatic disease as predictive factors. However, there is no consensus in this matter and it is still debated.

Citing Articles

Prognostic significance of a novel indicator (PSA/PSA) for PSA recurrence in patients after radical prostatectomy.

Zhou Z, Xu Y, Li Q, Yan W, Zhou Y, Zheng Z Cancer Manag Res. 2019; 11:5777-5783.

PMID: 31417316 PMC: 6601339. DOI: 10.2147/CMAR.S197521.


Analysis of Circulating Tumor Cells in Patients with Non-Metastatic High-Risk Prostate Cancer before and after Radiotherapy Using Three Different Enumeration Assays.

Budna-Tukan J, Swierczewska M, Mazel M, Cieslikowski W, Ida A, Jankowiak A Cancers (Basel). 2019; 11(6).

PMID: 31185699 PMC: 6627099. DOI: 10.3390/cancers11060802.


Letter to the Editor.

Sertkaya Z Cent European J Urol. 2016; 69(1):122.

PMID: 27123340 PMC: 4846736. DOI: 10.5176/ceju.2016.l1.

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