Zago T, Gaboardi F, Bozzola A, Galli L
Divisione di Urologia, Ospedale Fatebenefratelli, Milano.
Arch Ital Urol Androl. 1995 Apr;67(2):163-8.
This report is concerning on our experience in the management of the incidental prostatic cancer treated by laser irradiation and transrectal ultrasounds (TRUS). 22 patients, with stage A incidental prostatic cancer, underwent preliminary TRUS to evaluate suspected areas of residual tumor and/or the capsule thickness. 5 patients, before the laser irradiation, have been treated with 2nd look TURP because residual tumor or much residual prostatic tissue was present. Following TRUS evaluation all the patients underwent a laser irradiation with TRUS guidance. During the laser irradiation TRUS evaluation allows to recognize the anatomy of the prostatic capsule, the thickness of the capsule and to perform a safety and complete laser irradiation of the prostatic capsule with a depth laser irradiation. In the postoperative follow-up the TRUS demonstrated, in 18 patients, a complete laser induced fibrosis of the capsule. In conclusion the TRUS represents a good technique for pre and postoperative evaluation in the patients of stage A prostatic cancer treated with laser irradiation.
本报告是关于我们在激光照射和经直肠超声（TRUS）治疗偶发性前列腺癌方面的经验。22例A期偶发性前列腺癌患者接受了初步的经直肠超声检查，以评估可疑的残留肿瘤区域和/或包膜厚度。5例患者在激光照射前因存在残留肿瘤或大量残留前列腺组织而接受了二次经尿道前列腺切除术（TURP）。在经直肠超声评估后，所有患者均在经直肠超声引导下接受了激光照射。在激光照射过程中，经直肠超声评估有助于识别前列腺包膜的解剖结构、包膜厚度，并通过深度激光照射对前列腺包膜进行安全、彻底的激光照射。在术后随访中，经直肠超声显示，18例患者的包膜出现了完全的激光诱导纤维化。总之，经直肠超声是激光照射治疗A期前列腺癌患者术前和术后评估的良好技术。
