Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan
Yıl: 2019 Cilt: 9 Sayı: 1 Sayfa Aralığı: 11 - 16 Metin Dili: İngilizce DOI: 10.5505/kjms.2019.96977 İndeks Tarihi: 20-05-2020
Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan
Öz: Aim: This study aims to determine the incidence of cancer inpatients who underwent transurethral resection of the prostate(TUR-P) due to bladder outlet obstruction and to share our clinicalapproach to these patients at Niğde Ömer Halisdemir UniversityTraining and Research Hospital.Material and Method: The pathology reports of 650 TUR-Pspecimens from January 1, 2012, to December 31, 2017, wereretrospectively screened. In the pathology results of the prostaticadenocarcinoma patients, the age, tumor stage and Gleason score(GS) were evaluated. Physical examination data and the serum totalProstate Specific Antigen (PSA) levels, as well as the radiologicalfindings, were analyzed according to the hospital records.Results: After excluding nine patients with known prostate carcinomathere were 15 adenocarcinomas out of 641 patients(2.34%). The mean age was 72. Eleven patients were diagnosedas GS 6, and four patients were diagnosed with GS 7 prostateadenocarcinoma. Serum total PSA levels ranged from 1.56 to9.22 ng/mL. T1a tumor was detected in 11 patients and T1b tumorin 4 patients.Conclusion: Considering the studies that reported incidentalprostate cancer (IPC) rates in the PSA era, our rate is close tothe lower limit. The application of primary therapies should not beavoided in patients with IPC after TUR-P.
Anahtar Kelime: Konular:
Transüretral Prostat Rezeksiyonu Materyallerindeki İnsidental Kanser Sıklığı ve Bu Hastalardaki Klinik Yaklaşımımız; Geriye Dönük Dosya Taraması
Öz: Amaç: Çalışma, Niğde Ömer Halisdemir Üniversitesi Eğitim ve Araştırma Hastanesi (EAH)’nde mesane çıkış obstrüksiyonu nedeniyle transüretral prostat rezeksiyonu (TUR-P) uygulanan hastalardaki kanser sıklığını belirlemek ve bu hastalardaki klinik yaklaşımımızı paylaşmayı amaçlamaktadır. Materyal ve Metot: 1 Ocak 2012–31 Aralık 2017 tarihleri arasındaki 650 TUR-P materyaline ait patoloji sonuç raporu geriye dönük olarak tarandı. Patoloji sonuç raporlarında prostatik adenokarsinom tanılı hastaların yaşı, tümörün evresi ve Gleason skoru (GS), hastanemizin bilgi yönetim sisteminde serum total PSA düzeyleri, fizik muayene ve görüntüleme bulguları tarandı. Bulgular: Bilinen prostat kanseri tanısı olan 9 hasta çıkarıldığında 641 hastadan 15’inde (%2,34) adenokarsinom saptandı. Ortalama yaş 72 olup 11 hasta GS 6, 4 hastada GS 7 prostat adenokarsinomu tanısı almıştı. Serum total PSA düzeyleri 1,56 ile 9,22 ng/ mL arasında değişmekteydi. 11 hastada T1a, 4 hastada T1b tümör saptandı. Sonuç: Serum PSA düzeyleri ölçümlerinin yaygın olarak kullanılmaya başlamasından sonra yapılan insidental prostat kanseri (İPK) oranlarını bildiren çalışmalar değerlendirildiğinde bizim oranımız alt sınıra yakındır. TUR-P sonrası İPK saptanan hastalarda birincil tedavilerin uygulanmasından kaçınılmamalıdır.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ÖZBEY C, ÖZTORUN K (2019). Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. , 11 - 16. 10.5505/kjms.2019.96977 |
| Chicago | ÖZBEY Caner,ÖZTORUN Kenan Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. (2019): 11 - 16. 10.5505/kjms.2019.96977 |
| MLA | ÖZBEY Caner,ÖZTORUN Kenan Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. , 2019, ss.11 - 16. 10.5505/kjms.2019.96977 |
| AMA | ÖZBEY C,ÖZTORUN K Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. . 2019; 11 - 16. 10.5505/kjms.2019.96977 |
| Vancouver | ÖZBEY C,ÖZTORUN K Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. . 2019; 11 - 16. 10.5505/kjms.2019.96977 |
| IEEE | ÖZBEY C,ÖZTORUN K "Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan." , ss.11 - 16, 2019. 10.5505/kjms.2019.96977 |
| ISNAD | ÖZBEY, Caner - ÖZTORUN, Kenan. "Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan". (2019), 11-16. https://doi.org/10.5505/kjms.2019.96977 |
| APA | ÖZBEY C, ÖZTORUN K (2019). Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. Kafkas Tıp Bilimleri Dergisi, 9(1), 11 - 16. 10.5505/kjms.2019.96977 |
| Chicago | ÖZBEY Caner,ÖZTORUN Kenan Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. Kafkas Tıp Bilimleri Dergisi 9, no.1 (2019): 11 - 16. 10.5505/kjms.2019.96977 |
| MLA | ÖZBEY Caner,ÖZTORUN Kenan Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. Kafkas Tıp Bilimleri Dergisi, vol.9, no.1, 2019, ss.11 - 16. 10.5505/kjms.2019.96977 |
| AMA | ÖZBEY C,ÖZTORUN K Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. Kafkas Tıp Bilimleri Dergisi. 2019; 9(1): 11 - 16. 10.5505/kjms.2019.96977 |
| Vancouver | ÖZBEY C,ÖZTORUN K Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan. Kafkas Tıp Bilimleri Dergisi. 2019; 9(1): 11 - 16. 10.5505/kjms.2019.96977 |
| IEEE | ÖZBEY C,ÖZTORUN K "Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan." Kafkas Tıp Bilimleri Dergisi, 9, ss.11 - 16, 2019. 10.5505/kjms.2019.96977 |
| ISNAD | ÖZBEY, Caner - ÖZTORUN, Kenan. "Frequency of Incidental Cancer in Transurethral Prostate Resection Materials and Our Clinical Approach to These Patients; a Retrospective File Scan". Kafkas Tıp Bilimleri Dergisi 9/1 (2019), 11-16. https://doi.org/10.5505/kjms.2019.96977 |
