| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000296565 |
| ISSN: | 1677-5538 |
| Authors: | Romero, Frederico R1 Castro, Marilia G. de Andriolo Junior, Adalberto Meneses, Alex H. de Fernandes, Roni C Perez, Marjo D.C |
| Institutions: | 1Santa Casa de Sao Paulo, Faculdade de Ciencias Medicas, Sao Paulo. Brasil |
| Year: | 2004 |
| Season: | Jul-Ago |
| Volumen: | 30 |
| Number: | 4 |
| Pages: | 296-301 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico, analítico |
| English abstract | OBJECTIVE: To assess the incidence of bladder carcinoma infiltrating the prostate and prostate adenocarcinoma in patients undergoing radical cystoprostatectomy due to bladder cancer, as well as to assess if the characteristics of the bladder neoplasia influence the prostatic involvement by this neoplasia. MATERIALS AND METHODS: We retrospectively assessed 60 male patients, who underwent radical cystoprostatectomy between July 1997 and December 2003. Mean age was 66.7 years (40 and 93 years). The product of radical cystoprostatectomies was checked for involvement of urethra and prostate parenchyma by the primary neoplasia, and for the presence of associated prostate adenocarcinoma. Bladder neoplasia characteristics, such as localization, size, multifocality, association with in situ carcinoma and histological grade, were studied in order to assess the possibility of using such characteristics as predictive factors of prostate infiltration by bladder urothelial carcinoma. RESULTS: We observed the presence of 20% of patients with bladder carcinoma infiltrating the prostatic urethra, 23.3% of patients with infiltration of the prostate parenchyma and 28.3% of patients with associate prostate adenocarcinoma, resulting in a total of 55% of patients with prostatic involvement (infiltrative bladder carcinoma and/or adenocarcinoma). We also observed a statistically significant correlation between tumor location in the trigone, the presence of in situ carcinoma and the histological grade of the bladder tumor with prostatic infiltration by the |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Oncología, Neoplasias, Vejiga, Cistoprostatectomia, Cistectomía, Adenocarcinoma |
| Keyword: | Medicine, Oncology, Surgery, Neoplasms, Bladder, Cystoprostatectomy, Cystectomy, Adenocarcinoma, Neoplasm invasiveness, Prostatic neoplasms |
| Full text: | Texto completo (Ver HTML) |
