Predictive Factors of Positive Surgical Margin in Radical Prostatectomy

To identify the predictive factors for positive surgical margin after radical prostatectomy, we retrospectively analyzed the records of 381 patients who underwent radical prostatectomy in our hospital between January 2002 and December 2014. Patients who had received hormonal therapy before surgery w...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 64(2018), 3 vom: 25. März, Seite 101-106
1. Verfasser: Itami, Yoshitaka (VerfasserIn)
Weitere Verfasser: Momose, Hitoshi, Ichikawa, Kazuki, Mizobuchi, Shinichiro, Nakahama, Tomonori, Matsumoto, Yoshihiro
Format: Online-Aufsatz
Sprache:Japanese
Veröffentlicht: 2018
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Journal Article
Beschreibung
Zusammenfassung:To identify the predictive factors for positive surgical margin after radical prostatectomy, we retrospectively analyzed the records of 381 patients who underwent radical prostatectomy in our hospital between January 2002 and December 2014. Patients who had received hormonal therapy before surgery were excluded from the study. Positive surgical marginwas observed in121 cases (31.8%), and prostate specific antigen (PSA) before surgery ≧10 ng/ml (HR1.89 : 95%CI 1.17-3. 07) and BMI≧25 kg/m2 (HR2.73 : 95%CI 1.60-4. 68) were identified as significant predictors of positive surgical margin. The existence of PSM significantly correlated to the operation time of 240 minutes or longer (HR2.27 : 95%CI 1. 35-3.79), pT2c or higher local stage (HR2.08 : 95%CI 1.17-3.72) and 7 or higher Gleason score of the resected specimen(HR1.63 : 95%CI 1.03-2.59)
Beschreibung:Date Completed 27.02.2019
Date Revised 27.02.2019
published: Print
Citation Status MEDLINE
ISSN:0018-1994
DOI:10.14989/ActaUrolJap_64_3_101