Risk assessment for occult malignancy in the prostate before radical cystectomy

To assess our clinical ability to predict prostate involvement by transitional cell carcinoma (PI-TCC) or occult prostate cancer (CAP) in patients undergoing radical cystectomy (RCx). We retrospectively analyzed 70 male patients undergoing RCx for TCC of the bladder between 1995 and 2003, focusing o...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2005-12, Vol.66 (6), p.1251-1255
Main Authors: Kefer, John C., Voelzke, Bryan B., Flanigan, Robert C., Wojcik, Eva M., Waters, W. Bedford, Campbell, Steven C.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Transitional Cell - pathology
Carcinoma, Transitional Cell - surgery
Cystectomy
Humans
Male
Medical sciences
Middle Aged
Neoplasms, Multiple Primary - epidemiology
Nephrology. Urinary tract diseases
Preoperative Care
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - epidemiology
Retrospective Studies
Risk Assessment
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - surgery
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Summary:To assess our clinical ability to predict prostate involvement by transitional cell carcinoma (PI-TCC) or occult prostate cancer (CAP) in patients undergoing radical cystectomy (RCx). We retrospectively analyzed 70 male patients undergoing RCx for TCC of the bladder between 1995 and 2003, focusing on preoperative factors to predict PI-TCC or CAP. Of 70 RCx patients, 30 (43%) had PI-TCC (14) or CAP (16). Risk factors for PI-TCC included carcinoma in situ, multifocal TCC, and bladder neck involvement (P
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2005.07.006