偶发性前列腺癌23例诊治分析

Diagnosis and treatment of 23 cases of incidental carcinoma of the prostate gland

目的提高偶发性前列腺癌的诊断和治疗水平。方法回顾性分析1996年1月-2004年9月收治23例偶发性前列腺癌病例临床资料。病理报告前列腺腺癌18例,未分化癌5例。A1期16例,A2期7例。17例行双侧睾丸切除术,4例行根治性前列腺癌手术,2例内分泌治疗。结果22例获随访9月至8年,A1期15例中11例无瘤存活,A2期7例中3例无瘤存活。结论偶发性前列腺癌预后与分期有关,应积极治疗,疗效满意。

Objective To improve the diagnosis and treatment of incidental carcinoma of the prostate gland. Methods The clincal data of 23 cases of incidental carcinoma of the prostate gland between January 1996 and September 2004 were retrospectively reviewed and analyzed. Pathological diagnosis showed 18 cases of adenocarcinoma of prostate and 5 undifferentiated carcinoma. 16 cases were A1 stage and 7 were A2 stage. Castration was performed on 17 cases, radical prostatectomy on 4 cases and hormonal block therapy was given to 2 cases. Results 22 cases were followed up from 9 months to 8 years. 11 in 15 cases of A1 stage and 3 in 7 cases of A2 stage gained long-term survival, tumor free. Conclusion Prognosis of incidental carcinoma of the prostate gland is significantly associated with clinical stage. Patients with incidental carcinoma of the prostate gland could reach satisfactory survival rate with optimal therapeutic strategies.