%0 Journal Article
%T Perfil epidemiol¨®gico e fatores progn¨®sticos no tratamento cir¨²rgico do adenocarcinoma de pr¨®stata clinicamente localizado
%A Nassif
%A Aissar Eduardo
%A Tambara Filho
%A Renato
%A Paula
%A Regina Xavier Gomes de
%A Taguchi
%A Willian Setsumi
%A Pozzobon
%A Helio Jorge
%J Revista do Col¨¦gio Brasileiro de Cirurgi£¿es
%D 2009
%I Col¨¦gio Brasileiro de Cirurgi?es
%R 10.1590/S0100-69912009000400010
%X objective: radical prostatectomy remains the standard treatment for early prostate cancer. this study was conducted to evaluate the outcome and prognostic factors of radical prostatectomy. methods: a total of 500 patients with prostate cancer underwent radical prostatectomy at santa rita hospital- maringa-pr, between 2000 and 2006. clinical staging, preoperative prostate-specific antigen (psa) and gleason score were evaluated with pathological stage and margin status. follow-up psa monitoring and survival were analyzed. results: of 500 patients with clinical localized disease with a median follow up of 36,7¡À18,8 months. the average operative duration was 190¡À 45 minutes and the average intra-operative bleeding was 630 ml. the patients' preoperative serum psa was 7,8 ¡À 4,5 ng/dl , with a higher proportion of gleason score < 6(72%) and the tnm stage pt2c (65%). for late postoperative complications: incontinence in 2% and 46 % with erectile dysfunction. conclusion: radical prostatectomy in men shows excellent results. the chance of recurrence was directly associated with psa = 10 ng/ml, high gleason score and inversely proportional to age.
%K prostatic neoplasms
%K prostatic neoplasms [surgery]
%K prognosis
%K adenocarcinoma [epidemiology]
%K prostatectomy.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0100-69912009000400010&lng=en&nrm=iso&tlng=en