Prostate biopsy: is age important for determining the pathological features in prostate cancer?



Título del documento: Prostate biopsy: is age important for determining the pathological features in prostate cancer?
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000296716
ISSN: 1677-5538
Autores: 1
2




Instituciones: 1Hospital Sirio Libanes, Laboratorio de Cirurgia e Patologia Molecular, Sao Paulo. Brasil
2Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Ribeirao Preto, Sao Paulo. Brasil
Año:
Periodo: Jul-Ago
Volumen: 31
Número: 4
Paginación: 331-337
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, analítico
Resumen en inglés INTRODUCTION: The influence of age on the aggressiveness of prostate cancer (PCa) is controversial. This study aims to assess the influence of age in determining the pathological features of biopsies from patients diagnosed with PCa. PATIENTS AND METHODS: We selected 1422 patients with clinical suspicion of PCa; among them, 547 (38.5%) had received a diagnosis of adenocarcinoma. Patients were categorized into the following age groups: up to 50 years old, 51 to 60 years, 61 to 70 years, 71 to 80 years, and over 80 years. The evaluated variables were histological grade, presence of perineural invasion and estimate of tumor volume through measurement of the maximum percentage of tissue with cancer in one fragment and total percentage of tissue with cancer in the sample. RESULTS: The mean age of patients was 66.4 years, with age range from 32 to 94 years. The estimate of tumor volume by maximum percentage of tissue with cancer in one fragment (p = 0.064), total percentage of tissue with cancer in the sample (p = 0.443), and Gleason score (p = 0.485) were not statistically different in relation to the age groups under study. The presence of perineural invasion occurred more frequently among the 50 years and 81 years age groups when compared with patients aged from 51 to 60 and from 61 to 80 years (p = 0.005). CONCLUSIONS: Age did not represent a determining factor for pathological findings concerning Gleason score and estimate of tumor volume by the variables in use
Disciplinas: Medicina
Palabras clave: Cirugía,
Geriatría,
Oncología,
Próstata,
Neoplasias,
Biopsia,
Patología,
Clasificación,
Edad
Keyword: Medicine,
Geriatrics,
Oncology,
Surgery,
Prostate,
Neoplasms,
Biopsy,
Pathology,
Classification,
Age
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