Kawamura H, Hirakawa S, Nemoto R, Miyagawa I, Matsui K
Department of Urology, Tottori University School of Medicine, Yanago, Japan.
Nihon Hinyokika Gakkai Zasshi. 1992 Nov;83(11):1823-7. doi: 10.5980/jpnjurol1989.83.1823.
Of 160 newly diagnosed cases of prostate cancer during last 11 years, six (3.75%) had a prior subcapsular prostatectomy. Digital rectal examination in these six cases revealed a significant prostatic abnormality and multiple bone metastases were showed. Histological examination by step-section technique was done retrospectively using surgical materials from subcapsular prostatectomy. Two cases of incidental carcinoma were detected histologically. One showed stage A1 and another stage A2. Continuous observation should be performed after prostatectomy, even if the surgical specimens revealed no carcinoma.
在过去11年新诊断的160例前列腺癌病例中,6例(3.75%)曾接受过前列腺包膜下切除术。这6例患者的直肠指检均发现前列腺有明显异常,并显示有多处骨转移。采用包膜下前列腺切除术的手术材料,对这6例病例进行了回顾性的组织学连续切片检查。经组织学检查发现2例偶然癌。1例为A1期,另1例为A2期。即使手术标本未发现癌,前列腺切除术后也应进行持续观察。