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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
Itir Ebru Zemheri
Asif Yildirim
Hatice Deniz Gur
Mevlana Derya Balbay
Serkan Senol
Ahmet Oguz Ozkanli
Erdal Alkan
Tulay Zenginkinet
Prof. Dr. Abdullah AYDIN Prof. Dr. Abdullah AYDIN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Turhan Caskurlu
Devamını Göster
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
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan 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 No 44
Sayı 3
Sayfalar 397 / 403
Doi Numarası 10.3906/sag-1303-128