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Clinical Experiences of Incidental Prostate Cancer after Transurethral Resection of Prostate (TURP) According to Initial Treatment: A Study of a Korean High Volume Center

DC FieldValueLanguage
dc.contributor.author김장환-
dc.contributor.author나군호-
dc.contributor.author정병하-
dc.contributor.author최영득-
dc.contributor.author홍성준-
dc.contributor.author이광석-
dc.date.accessioned2015-01-06T16:35:17Z-
dc.date.available2015-01-06T16:35:17Z-
dc.date.issued2014-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/98385-
dc.description.abstractPURPOSE: These are the clinical experiences of Korean incidental prostate cancer patients detected by transurethral resection of the prostate according to initial treatment: active surveillance (AS), radical prostatectomy (RP) and hormone therapy (HT). MATERIALS AND METHODS: We retrospectively reviewed the records of 156 incidental prostate cancer patients between 2001 and 2012. The clinicopathologic outcomes were reviewed and follow-up results were obtained. RESULTS: Among 156 patients, 97 (62.2%) had T1a and 59 (37.8%) had T1b. Forty-six (29.5%) received AS, 67 (42.9%) underwent RP, 34 (21.8%) received HT, 4 (2.6%) received radiotherapy, and 5 (3.2%) chose watchful waiting. Of 46 patients on AS, prostate-specific antigen (PSA) progression occurred in 12 (26.1%) patients. Among them, 3 patients refused treatment despite PSA progression. Five patients, who underwent RP as an intervention, all had organ-confined Gleason score ≤6 disease. In 67 patients who underwent RP, 50 (74.6%) patients had insignificant prostate cancer and 8 (11.9%) patients showed unfavorable features. During follow-up, biochemical recurrence occurred in 2 patients. Among 34 patients who received HT, 3 (8.8%) patients had PSA progression. Among 156 patients, 6 patients died due to other causes during follow-up. There were no patients who died due to prostate cancer. CONCLUSION: The clinical outcomes of incidental prostate cancer were satisfactory regardless of the initial treatment. However, according to recent researches and guidelines, immediate definite therapy should be avoided without a careful assessment. We also believe that improved clinical staging is needed for these patients.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHHumans-
dc.subject.MESHKorea-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHProstatectomy-
dc.subject.MESHProstatic Neoplasms/surgery*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTransurethral Resection of Prostate/mAged-
dc.subject.MESHHumans-
dc.subject.MESHKorea-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHProstatectomy-
dc.subject.MESHProstatic Neoplasms/surgery*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTransurethral Resection of Prostate/methods*ds*-
dc.subject.MESHnull-
dc.titleClinical Experiences of Incidental Prostate Cancer after Transurethral Resection of Prostate (TURP) According to Initial Treatment: A Study of a Korean High Volume Center-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorDong Hoon Lee-
dc.contributor.googleauthorDoo Yong Chung-
dc.contributor.googleauthorKwang-suk Lee-
dc.contributor.googleauthorIn Kyong Kim-
dc.contributor.googleauthorKoon Ho Rha-
dc.contributor.googleauthorYoung Deuk Choi-
dc.contributor.googleauthorByung Ha Chung-
dc.contributor.googleauthorSung Joon Hong-
dc.contributor.googleauthorJang Hwan Kim-
dc.identifier.doi10.3349/ymj.2014.55.1.78-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00855-
dc.contributor.localIdA01227-
dc.contributor.localIdA03607-
dc.contributor.localIdA04111-
dc.contributor.localIdA04402-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid24339290-
dc.subject.keywordIncidental prostate cancer-
dc.subject.keywordactive surveillance-
dc.subject.keywordradical prostatectomy-
dc.contributor.alternativeNameKim, Jang Hwan-
dc.contributor.alternativeNameRha, Koon Ho-
dc.contributor.alternativeNameChung, Byung Ha-
dc.contributor.alternativeNameChoi, Young Deuk-
dc.contributor.alternativeNameHong, Sung Joon-
dc.contributor.affiliatedAuthorKim, Jang Hwan-
dc.contributor.affiliatedAuthorRha, Koon Ho-
dc.contributor.affiliatedAuthorChung, Byung Ha-
dc.contributor.affiliatedAuthorChoi, Young Deuk-
dc.contributor.affiliatedAuthorHong, Sung Joon-
dc.citation.volume55-
dc.citation.number1-
dc.citation.startPage78-
dc.citation.endPage83-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.55(1) : 78-83, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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