PTU - Polskie Towarzystwo Urologiczne
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THE CARCINOMA OF THE PROSTATE FOLLOWING ADENOMECTOMY
Article published in Urologia Polska 1988/41/2.

authors

Jan Szymanowski, Zofia Kasprzycka, Maciej Wysocki, Tomasz Nadolski
Z Oddziału Urologii Szpitala Bielańskiego w Warszawie
Ordynator: dr n. med. J. Szymanowski
Z Zakładu Diagnostyki Patomorfologicznej CMKP w Warszawie Kierownik: prof. dr hab. med. M. Kobuszewska-Faryna

summary

During the last ten years we have been treating 154 patients with the car­cinoma of the prostate and 443 patients with the prostatic adenoma. In the group of patients with the carcinoma of the prostate 22 patients developed symptoms of the carcinoma in the period of 2 to 15 years (8 years on an average) following the adenomectomy, which makes up 14,28% cases of the carcinoma of the pro­state and 4,96% previously operated because of the prostatic adenoma. In 20 pa­tients with the prostatic adenoma a transbladder adenomectomy was performed, and two patients had a transurethral electroresection of the prostate. After the operations all the patients suffered from a complete retention of urine, they had another transurethral electroresection of the prostate. In 13 patients (59,0%) a neo­plasm in the stage T-4 was found, an in 7 patients (31,8%) osteolytic metastasis was discovered. In as many as 20 patients (90,0%) the level of histological diffe-rention was medium or low. Six patients died (27,27°/o) and five others (22,72%) live with symptoms of the carcinoma.
So it is advisable to keep careful observation of patients after adenomectomy.

references

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