前列腺偶发癌18例分析

Prostatic carcinoma incidentally found after prostatectomy for BPH

目的 探讨前列腺偶发癌的发病率、与BPH的关系、治疗方法和预后。方法 回顾性分析了 1996年 1月至 2 0 0 3年 4月因前列腺增生症手术病理检出的前列腺腺癌 18例临床资料。病理确诊后 16例行双侧睾丸切除术 ,6例行内分泌治疗。结果 16例获得随访半年至 8年 ,其中A1期 10例 ,A2 期 6例 ,15例存活 ,存活最长 8年 ,1例死于其他疾病。结论 前列腺偶发癌预后较好 ,去势术治疗和内分泌治疗可提高生存率。

Objective To investigate the relationship with benign prostatic hyperplasia (BPH), the morbidity, the management and prognosis of incidental prostatic carcinoma. Methods From Jan of 1996 to Apr of 2003, 18 cases of prostatic incidental carcinoma were confirmed on pathological examination after prostatectomy for BPH. Bilateral orchiectomy was performed in 16 cases and hormonal treatment in 6 cases. Results 16 of the patients were followed up for 6 to 96 months. Among them, 6 patients were A 1 stage and 10 A 2 stage. 15 of them survived and one of them died of other disease, the longest survival period being 8 years. Conclusion Bilateral orchiectomy and hormonal treatment for incidental carcinoma might improve the patient's survival rate. It has a better prognosis.