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PubMed · 10812902

Prostate cancer: correlation between local and systemic disease.

M Marzi·P Rosi·E Mearini·S Bracarda·S Cesaroni·M Porena
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Abstract

BACKGROUND: Prostate cancer is in Italian men the second neoplasm for incidence. Transrectal ultrasonography (TRUS) is still today a cheap test, not very invasive, well accepted by the motivated patient and sufficiently accurate for the valuation of the local status disease. We proposed our data to verify if a careful local ultrasonographic study of prostatic carcinoma could or not predict its systemic course. METHODS: We have valued 136 out patients affected by prostate cancer and treated with either palliative medical therapy or radiotherapy. The follow-up varies from 12 to 132 months. The local, evaluation of the disease done through TRUS in longitudinal and/or axial scan (the dimension of the gland, the volume and ultrasonographic characteristics of the lesion, capsular involvement and estimation of the surrounding structures: seminal vesicles, vesica, rectum). RESULTS: In the long run, considering the local and systemic course of the disease, we have noticed accordance globally in 116 patients (85.3%); 13 patients showed only systematic progression (9.5%) while in 7 patients, we have noticed a local but not a systemic variation. CONCLUSIONS: We can deduce that periodical carrying-out of the TRUS (twice a year) constitute a reliable index not only of local procedure of the pt. but also predicting the systemic course of the disease, making the routine carrying out of the other check-up unnecessary, that could be reserved for cases with precise clinical indication.

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AgedAged, 80 and overDisease ProgressionFollow-Up StudiesHumansMaleMiddle AgedProstatic NeoplasmsUltrasonographyClinical TrialJournal Article

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M Marzi, P Rosi, E Mearini, S Bracarda, S Cesaroni, M Porena. 1999. Prostate cancer: correlation between local and systemic disease.. https://pubmed.ncbi.nlm.nih.gov/10812902/

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