摘要
目的 探讨前列腺偶发癌的治疗方法。方法 2 71例前列腺增生症手术后发现前列腺偶发癌 13例 ,10例行双侧睾丸切除术和内分泌治疗 ,3例根治性前列腺切除术。结果 13例全部得到随访 ,随访 1～ 6年 ,死亡 1例 ,无瘤生存 12例 ,存活时间 1～ 6年。结论 对低分化者尽可能行根治性前列腺切除术 ,对高分化者行去势手术和内分泌治疗可提高生存率。
Objective To investigate the management of incidentally discovered prostatic cancer (IDPC).Methods 271 cases of benign prostatic hyperplasia specimens were examined by pathology,13 cases of which were diagnosed as IDPC,10 cases were performed for bilateral orchiectomy and endocrine pharmacotherapy,and 3 cases for radical prostatectomy.Results 13 patients with IDPC were followed up for 1 6 years,of which one died of carcinomar metastasis,and 12 cases lived without carcinoma.Conclusion Radical prostatectomy should be performed in the poorly differentiated IDPC patients,bilateral orchiectomy and endocrine pharmacotherapy for the well differentiated IDPC patients,which might enhance the survival rate of the IDPC patients.
出处
《河北医药》
CAS
2002年第7期547-548,共2页
Hebei Medical Journal
关键词
前列腺偶发癌
前列腺肿瘤
诊断
治疗
外科手术
prostatic neoplasms
incidentally discovered cancer
prostatic hyperplasia
