Prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: Results from a large Chinese medical center
ABSTRACT Purpose To investigate the incidence and pathologic characteristics of prostate cancer (PCa) incidentally discovered at the time of radical cystectomy and its impact on overall survival. Materials and Methods A single center retrospective study of 762 male patients who underwent radical c...
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Urologia
|
Series: | International Brazilian Journal of Urology |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000200258&lng=en&tlng=en |
id |
doaj-e5f4b57713ca4f1a8e6fe71252949c9a |
---|---|
record_format |
Article |
spelling |
doaj-e5f4b57713ca4f1a8e6fe71252949c9a2020-11-25T00:03:00ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-611944225826610.1590/s1677-5538.ibju.2017.0430S1677-55382018000200258Prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: Results from a large Chinese medical centerShiying TangHan HaoDong FangWei ZhengPeng GeXiaohong SuQun HeXinyu YangQi ShenXuesong LiWei YuJian LinLiqun ZhouABSTRACT Purpose To investigate the incidence and pathologic characteristics of prostate cancer (PCa) incidentally discovered at the time of radical cystectomy and its impact on overall survival. Materials and Methods A single center retrospective study of 762 male patients who underwent radical cystoprostatectomy from Jan 1994 to Dec 2012. Results Of all included patients, 132 (17.3%) were found to have PCa. Patients with incidental PCa had a significantly higher mean age (69.2 vs. 62.2 years, P=0.015). Among the 132 patients with PCa, prostate specific antigen (PSA) analysis was available in 76 patients (57.6%), with a median value of 1.06ng/mL, and 61 (80.3%) patients had a PSA value below 4ng/mL. Four hundred and thirty-six patients (57.1%) were successfully followed, with a median duration of 46.5 months. The overall 5-year survival rate was 62.1%, and the 5-year cancer–specific survival rate was 72%. PCa recurrence was defined by two consecutive PSA values of >0.2 ng/mL and rising, and no PCa recurrence occurred. According to a univariate analyses, incidental PCa was not associated with cancer-specific survival (P=0.192) or overall survival (P=0.493). According to univariate analyses, the overall survival of patients with PCa was not associated with prostate cancer staging, PSA value, or Gleason score (All P values>0.05). Conclusions Prostate cancer incidentally discovered at the time of radical cystectomy does not decrease overall survival. Patients with incidental PCa were older than those without. The PSA value before operation is not helpful for predicting incidental prostate cancers.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000200258&lng=en&tlng=enUrinary Bladder NeoplasmsProstatic NeoplasmsCarcinoma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shiying Tang Han Hao Dong Fang Wei Zheng Peng Ge Xiaohong Su Qun He Xinyu Yang Qi Shen Xuesong Li Wei Yu Jian Lin Liqun Zhou |
spellingShingle |
Shiying Tang Han Hao Dong Fang Wei Zheng Peng Ge Xiaohong Su Qun He Xinyu Yang Qi Shen Xuesong Li Wei Yu Jian Lin Liqun Zhou Prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: Results from a large Chinese medical center International Brazilian Journal of Urology Urinary Bladder Neoplasms Prostatic Neoplasms Carcinoma |
author_facet |
Shiying Tang Han Hao Dong Fang Wei Zheng Peng Ge Xiaohong Su Qun He Xinyu Yang Qi Shen Xuesong Li Wei Yu Jian Lin Liqun Zhou |
author_sort |
Shiying Tang |
title |
Prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: Results from a large Chinese medical center |
title_short |
Prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: Results from a large Chinese medical center |
title_full |
Prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: Results from a large Chinese medical center |
title_fullStr |
Prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: Results from a large Chinese medical center |
title_full_unstemmed |
Prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: Results from a large Chinese medical center |
title_sort |
prostate cancer incidentally discovered at the time of radical cystoprostatectomy does not decrease overall survival: results from a large chinese medical center |
publisher |
Sociedade Brasileira de Urologia |
series |
International Brazilian Journal of Urology |
issn |
1677-6119 |
description |
ABSTRACT Purpose To investigate the incidence and pathologic characteristics of prostate cancer (PCa) incidentally discovered at the time of radical cystectomy and its impact on overall survival. Materials and Methods A single center retrospective study of 762 male patients who underwent radical cystoprostatectomy from Jan 1994 to Dec 2012. Results Of all included patients, 132 (17.3%) were found to have PCa. Patients with incidental PCa had a significantly higher mean age (69.2 vs. 62.2 years, P=0.015). Among the 132 patients with PCa, prostate specific antigen (PSA) analysis was available in 76 patients (57.6%), with a median value of 1.06ng/mL, and 61 (80.3%) patients had a PSA value below 4ng/mL. Four hundred and thirty-six patients (57.1%) were successfully followed, with a median duration of 46.5 months. The overall 5-year survival rate was 62.1%, and the 5-year cancer–specific survival rate was 72%. PCa recurrence was defined by two consecutive PSA values of >0.2 ng/mL and rising, and no PCa recurrence occurred. According to a univariate analyses, incidental PCa was not associated with cancer-specific survival (P=0.192) or overall survival (P=0.493). According to univariate analyses, the overall survival of patients with PCa was not associated with prostate cancer staging, PSA value, or Gleason score (All P values>0.05). Conclusions Prostate cancer incidentally discovered at the time of radical cystectomy does not decrease overall survival. Patients with incidental PCa were older than those without. The PSA value before operation is not helpful for predicting incidental prostate cancers. |
topic |
Urinary Bladder Neoplasms Prostatic Neoplasms Carcinoma |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000200258&lng=en&tlng=en |
work_keys_str_mv |
AT shiyingtang prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT hanhao prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT dongfang prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT weizheng prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT pengge prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT xiaohongsu prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT qunhe prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT xinyuyang prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT qishen prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT xuesongli prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT weiyu prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT jianlin prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter AT liqunzhou prostatecancerincidentallydiscoveredatthetimeofradicalcystoprostatectomydoesnotdecreaseoverallsurvivalresultsfromalargechinesemedicalcenter |
_version_ |
1725435549477502976 |