Hradec E, Jarolím L, Motlík K
Scand J Urol Nephrol Suppl. 1980;55:193-6.
Unexpected carcinoma was found in 69 cases (7.7%) our of 891 patients subjected to surgery for clinically benign hyperplasia. The incidence was higher in specimens removed by suprapubic or retropubic approach (10.2%) than by transurethral resections (2.7%). Carcinoma was found most frequently in patients aged 70 to 80 years (50.8%), next being the age group 60 to 70 years. A statistically significant prevalence of carcinoma was in th medium sized prostases (30-40 grams = 12.4%) well compared to smaller or larger prostates. The principles for a systematic topographically oriented microscopic examination are described. Morphological categories of latent carcinoma are defined as microcarcinoma, focal, multifocal or diffuse carcinoma. Adenocarcinoma was the uniform pattern of these latent carcinomas. The therapeutic attitude towards the microscopically diagnosed clinically latent prostatic carcinoma is discussed.
在891例因临床诊断为良性增生而接受手术的患者中，有69例（7.7%）发现了意外癌。经耻骨上或耻骨后途径切除的标本中癌的发生率（10.2%）高于经尿道切除术（2.7%）。癌最常见于70至80岁的患者（50.8%），其次是60至70岁年龄组。与较小或较大前列腺相比，中等大小前列腺（30 - 40克）中癌的患病率具有统计学意义（12.4%）。描述了系统的按地形学导向的显微镜检查原则。潜伏癌的形态学类别定义为微癌、局灶性、多灶性或弥漫性癌。腺癌是这些潜伏癌的一致模式。讨论了对显微镜诊断的临床潜伏性前列腺癌的治疗态度。
