偶发前列腺癌(附20例报告)

Incidental adenocarcinoma of prostate (report of 20 cases)

目的 探讨偶发前列腺癌的治疗方法与预后。 方法 总结１９８０ 年１ 月～１９９８ 年６月因前列腺增生症手术而病理检出前列腺癌２０ 例，病理诊断后１４ 例施行了双侧睾丸切除术。 结果 １８ 例获得随访，随访时间８ 个月至１２ 年，其中Ａ１ 期６ 例，Ａ２ 期１２ 例。存活９ 例，最长时间为７年。 结论 对偶发前列腺癌去势术可提高生存率。

Objective To investigate the management and prognosis of incidental prostatic carcinoma. Methods From Jan of 1980 to Jun of 1998, 20 cases of prostatic carcinoma were confirmed on pathological examination after prostatectomy for BPH.Bilateral orchiectomy was performed in 14 of them. Results 18 of the patients have been followed up 8～144 months. Among them, 6 patients were A1 stage and 12 A 2 stage. 9 of them survived,the longest survival period being 7 years. Conclusions Bilateral orchiectomy for incidental prostatic carcinoma might improve the patients' survival rate.