Kurtman C, Celebioğlu B, Göğüş O, Andrieu M N
Ankara University Medical Faculty, Department of Radiation Oncology, Cebeci Hospital, Turkey.
Int Urol Nephrol. 2000;32(2):275-8. doi: 10.1023/a:1007174213087.
The current study was undertaken to evaluate the Prostate Specific Antigen (PSA) relapse free survival and the prognostic factors in a total of 38 patients with stages of T2a-b, N0, M0 prostate carcinoma treated with three-dimensional conformal radiotherapy (3D-CRT). Mean 69.63 Gy was given with 3D-CRT, the mean follow up time was 13.89 months, and the mean prebiopsied PSA level was 25.12 ng/ml. The 2-year PSA relapse free survival was 47.37% for the entire group. The 2-year PSA relapse free survival rates were 100% and 44.74% for the patients with Gleason score < or = 7 and greater than 7 (p < or = 0.05). Patients with prebiopsied PSA level < or = 10 ng/ml and the stages of T2a or T2b did not show any significant differences (p > or = 0.05). Although the few case number and short term follow up, in this study 3D-CRT was a new effective technique to prostate cancer for our institutes and the Gleason score was important predictor of PSA relapse free survival.
本研究旨在评估38例T2a-b、N0、M0期前列腺癌患者接受三维适形放疗(3D-CRT)后的前列腺特异性抗原(PSA)无复发生存率及预后因素。3D-CRT的平均剂量为69.63 Gy,平均随访时间为13.89个月,活检前PSA水平平均为25.12 ng/ml。整个组的2年PSA无复发生存率为47.37%。Gleason评分≤7分和>7分的患者2年PSA无复发生存率分别为100%和44.74%(p≤0.05)。活检前PSA水平≤10 ng/ml且为T2a或T2b期的患者未显示出任何显著差异(p≥0.05)。尽管病例数较少且随访时间较短,但在本研究中,3D-CRT对我们研究所而言是一种治疗前列腺癌的新的有效技术,且Gleason评分是PSA无复发生存率的重要预测指标。