Gleason score at the margin can predict biochemical recurrence after radical prostatectomy, in addition to preoperative PSA and surgical margin status
  
Yazarlar (11)
Sidika Seyma Ozkanli Istanbul Medeniyet University, Türkiye
Itir Ebru Zemheri Istanbul Medeniyet University, Türkiye
Asif Yildirim Istanbul Medeniyet University, Türkiye
Hatice Deniz Gur Columbia University, Amerika Birleşik Devletleri
Mevlana Derya Balbay T.C. Sağlık Bakanlığı, Türkiye
Serkan Senol Istanbul Medeniyet University, Türkiye
Ahmet Oguz Ozkanli Memorial Healthcare Group, Türkiye
Erdal Alkan T.C. Sağlık Bakanlığı, Türkiye
Tulay Zenginkinet İstanbul Medeniyet Üniversitesi, Türkiye
Prof. Dr. Abdullah AYDIN Kırşehir Ahi Evran Üniversitesi, Türkiye
Turhan Caskurlu İstanbul Medeniyet Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (ESCI dergilerinde yayınlanan tam makale)
Dergi Adı Turkish Journal of Medical Sciences
Dergi ISSN 1300-0144 Wos Dergi Scopus Dergi
Makale Dili İngilizce Basım Tarihi 01-2014
Cilt / Sayı / Sayfa 44 / 3 / 397–403 DOI 10.3906/sag-1303-128
Makale Linki https://doi.org/10.3906/sag-1303-128
Özet
To evaluate the relation between biochemical recurrence (BCR) of prostate cancer and the extent of positive surgical margins (PSMs), Gleason score (GS) of the tumor at the margins, and preoperative prostate-specific antigen (PSA) levels. A total of 94 patients who underwent radical prostatectomy were recruited for this study and received postoperative follow-up care for 2 years. All specimens were evaluated for surgical margin status, PSM length, GS at positive margin, size of tumor, multifocality, invasion of seminal vesicle, lymphovascular invasion, and perineural invasion. PSM was defined as a prostate tumor. Out of 94 patients, 34 patients (36.2%) had PSMs and 46 patients (48.9%) had BCR. A statistically significant relation between having a high risk of BCR of prostate cancer and having high preoperative PSA levels (P < 0.001), PSMs (P < 0.001), or a high GS at the surgical margin (P = 0.024) was found. High preoperative PSA levels, PSMs, and tumors with high GS at the margins have a poor prognostic impact, and they correlate with a higher rate of BCR. Close follow-up of patients with PSMs with high GS and high levels of preoperative PSA is recommended.
Anahtar Kelimeler
Prostate cancer | surgical margin | biochemical recurrence