Similar Recurrence Rate Between Gleason Score of Six at Positive Margin and Negative Margin After Radical Prostatectomy.

Abstract:

BACKGROUND/AIM:To investigate whether surgical margin (SM) status would affect the biochemical recurrence (BCR) after robot-associated RP (RARP). PATIENTS AND METHODS:We evaluated BCR after RARP and the association between pre- and postoperative predictive factors and BCR. RESULTS:Positive SM (PSM) was observed in 97 out of 365 enrolled patients. On multivariate analysis, preoperative prostate specific antigen, biopsy Gleason score (GS), clinical stage, GS ≥7 at the PSM and pathological GS ≥7 were predictive factors for BCR. The 5-year BCR-free survival rate was 84.1% in the negative SM (NSM), 87.4% when GS=6 at the PSM, and 47.6% when GS ≥7 at the PSM. There was no statistically significant difference in BCR-free survival between the NSM group and GS=6 at the PSM group (p=0.966). CONCLUSION:It would be desirable to evaluate GS at PSM when PSM is present in a specimen removed by RP.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Kano H,Kadono Y,Kadomoto S,Iwamoto H,Yaegashi H,Iijima M,Kawaguchi S,Nohara T,Shigehara K,Izumi K,Ikeda H,Mizokami A

doi

10.21873/anticanres.14802

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

509-516

issue

1

eissn

0250-7005

issn

1791-7530

pii

41/1/509

journal_volume

41

pub_type

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