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前列腺癌根治术后膀胱颈活检中良性和恶性前列腺组织的发生率。

Incidence of benign and malignant prostate tissue in biopsies of the bladder neck after a radical prostatectomy.

作者信息

Wood D P, Peretsman S J, Seay T M

机构信息

Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0084, USA.

出版信息

J Urol. 1995 Oct;154(4):1443-6.

PMID:7658554
Abstract

PURPOSE

We determined whether bladder neck sparing radical prostatectomy may leave prostate tissue in the unresected bladder neck.

MATERIALS AND METHODS

We intraoperatively evaluated the presence of prostate tissue in bladder neck biopsy specimens from 73 consecutive patients undergoing bladder neck sparing radical prostatectomy.

RESULTS

Of the 73 specimens 14 (19%) contained prostate tissue: 9 (12%) were positive for prostate cancer and 5 (7%) contained benign prostate tissue. All patients with a positive bladder neck biopsy had a positive margin at another site.

CONCLUSIONS

We recommend routine bladder neck biopsies for patients undergoing a bladder neck sparing procedure.

摘要

目的

我们确定保留膀胱颈的根治性前列腺切除术是否会在未切除的膀胱颈处残留前列腺组织。

材料与方法

我们对73例连续接受保留膀胱颈根治性前列腺切除术的患者的膀胱颈活检标本进行术中评估，以确定是否存在前列腺组织。

结果

在73份标本中，14份（19%）含有前列腺组织：9份（12%）前列腺癌呈阳性，5份（7%）含有良性前列腺组织。所有膀胱颈活检呈阳性的患者在其他部位切缘均为阳性。

结论

对于接受保留膀胱颈手术的患者，我们建议进行常规膀胱颈活检。

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