Abstract:
PURPOSE:This study aimed at analysing long-term oncologic outcomes in prostate cancer patients with limited nodal disease (1-2 positive lymph nodes) without adjuvant therapy after radical prostatectomy (RP). METHODS:We retrospectively analysed data of 209 pN1 patients who underwent RP between January 1998 and 2010 with one (160) or two (49) histologically proven positive lymph nodes (LNs) without adjuvant treatment. Biochemical recurrence-free survival, metastasis-free survival and cancer-specific survival (CSS) were reported. In multivariable regression analyses further prognosticators of oncologic outcome in these patients were analysed. RESULTS:Median follow-up was 60.2 months. There was no significant difference in oncologic outcome between patients with one and two positive LNs. 73.1% (76.7%) of patients with one (two) positive LNs had biochemical recurrence during the follow-up period, 20.0% (25.6%) developed metastasis and 8.1% (6.1%) died of their disease. The only factors significantly associated with oncologic outcome in multivariable analysis were Gleason score and pT-stage. CONCLUSIONS:Patients with limited nodal disease (1-2 positive LNs) without adjuvant therapy showed favourable CSS-rates above 94% after 5 years. A subgroup of these patients (37%) remained metastasis-free without need of salvage treatment.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Mandel P,Rosenbaum C,Pompe RS,Steuber T,Salomon G,Chun FK,Graefen M,Huland H,Tilki Ddoi
10.1007/s00345-017-2079-4subject
Has Abstractpub_date
2017-12-01 00:00:00pages
1833-1839issue
12eissn
0724-4983issn
1433-8726pii
10.1007/s00345-017-2079-4journal_volume
35pub_type
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