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Article

Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence

  • Authors:
    • Nobuki Furubayashi
    • Takahito Negishi
    • Shintaro Ura
    • Jun Mutaguchi
    • Kenichi Taguchi
    • Mototsugu Shimokawa
    • Motonobu Nakamura
  • View Affiliations / Copyright

    Affiliations: Department of Urology, National Kyushu Cancer Center, Fukuoka 811‑1395, Japan, Department of Pathology, National Kyushu Cancer Center, Fukuoka 811‑1395, Japan, Institute for Clinical Research, National Kyushu Cancer Center, Fukuoka 811‑1395, Japan
  • Pages: 3882-3888
    |
    Published online on: April 20, 2016
       https://doi.org/10.3892/ol.2016.4485
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Abstract

The present study aimed to evaluate the possibility of performing radical prostatectomy (RP) alone to achieve a radical cure for prostate cancer in the intermediate‑risk group. Samples were collected from 638 Japanese patients who underwent antegrade RP between August 1998 and May 2013; subsequently, 157 patients were excluded. According to the D'Amico criteria, the low‑, intermediate‑ and high‑risk groups comprised 107, 222 and 152 patients, respectively. The 5‑year prostate‑specific antigen (PSA) failure‑free survival rates in the low‑, intermediate‑, and high‑risk groups were 96.5, 88.9 and 72.6%, respectively (P<0.001; degrees of freedom=2). In the intermediate‑risk group, the difference in PSA failure‑free survival between the 0<PSA≤10 and 10<PSA≤20 ng/ml, and the biopsy Gleason score 6 and 7 groups were not statistically significant, according to the log‑rank test (P=0.2266 and P=0.1329, respectively). However, the difference in PSA failure‑free survival between the clinical tumor stage (cT)1c and cT2a/b groups was statistically significant based on the log‑rank test (P<0.0001). The results of the multivariate analysis revealed that, of the preoperative characteristics, only the cT was a significant predictor in patients with and without PSA failure (P<0.001). Therefore, patients classified into the intermediate‑risk group with cT2a/b stage, according to positive digital rectal examination findings, and are not considered to be likely to achieve a complete cure with RP surgery alone. In summary, for patients meeting these criteria in the intermediate‑risk group, RP surgery alone is likely to be insufficient, and other additional treatments may be considered subsequent to RP.
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Copy and paste a formatted citation
Spandidos Publications style
Furubayashi N, Negishi T, Ura S, Mutaguchi J, Taguchi K, Shimokawa M and Nakamura M: Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence. Oncol Lett 11: 3882-3888, 2016.
APA
Furubayashi, N., Negishi, T., Ura, S., Mutaguchi, J., Taguchi, K., Shimokawa, M., & Nakamura, M. (2016). Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence. Oncology Letters, 11, 3882-3888. https://doi.org/10.3892/ol.2016.4485
MLA
Furubayashi, N., Negishi, T., Ura, S., Mutaguchi, J., Taguchi, K., Shimokawa, M., Nakamura, M."Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence". Oncology Letters 11.6 (2016): 3882-3888.
Chicago
Furubayashi, N., Negishi, T., Ura, S., Mutaguchi, J., Taguchi, K., Shimokawa, M., Nakamura, M."Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence". Oncology Letters 11, no. 6 (2016): 3882-3888. https://doi.org/10.3892/ol.2016.4485
Copy and paste a formatted citation
x
Spandidos Publications style
Furubayashi N, Negishi T, Ura S, Mutaguchi J, Taguchi K, Shimokawa M and Nakamura M: Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence. Oncol Lett 11: 3882-3888, 2016.
APA
Furubayashi, N., Negishi, T., Ura, S., Mutaguchi, J., Taguchi, K., Shimokawa, M., & Nakamura, M. (2016). Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence. Oncology Letters, 11, 3882-3888. https://doi.org/10.3892/ol.2016.4485
MLA
Furubayashi, N., Negishi, T., Ura, S., Mutaguchi, J., Taguchi, K., Shimokawa, M., Nakamura, M."Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence". Oncology Letters 11.6 (2016): 3882-3888.
Chicago
Furubayashi, N., Negishi, T., Ura, S., Mutaguchi, J., Taguchi, K., Shimokawa, M., Nakamura, M."Patients treated with radical prostatectomy with positive digital rectal examination findings in the intermediate‑risk group are prone to PSA recurrence". Oncology Letters 11, no. 6 (2016): 3882-3888. https://doi.org/10.3892/ol.2016.4485
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