2014 - 2016年我中心经尿道前列腺切除术(turp)材料中偶发前列腺癌的发生率及意义

G. Güvendi, Tuğba Toyran, M. Bağcıoğlu, Özlem Kılıç, Y. Adalı
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2014 - 2016年我中心经尿道前列腺切除术(turp)材料中偶发前列腺癌的发生率及意义像所有器官一样,前列腺也有良性和恶性疾病。在良性疾病中,以良性前列腺增生(BPH)和恶性肿瘤腺癌最为常见。治疗前列腺增生的方法之一是经尿道切除术(turp)。在我们的研究中,我们调查了前列腺增生引起的turp患者的偶发肿瘤发生率。本研究纳入我院2014-2016年间行turp手术并在病理科检查手术材料的患者120例。120例患者中有117例(97.5%)发现良性肿瘤,3例(2.5%)发现恶性肿瘤。文献报道,在为缓解BPH症状而进行的turp手术中,腺癌的发生率从4%到15%不等。我们建议有前列腺症状的患者应仔细检查,对偶发肿瘤应做详细的组织病理学评估,并在最大程度上进行临床病理交流。
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THE INCIDENCE AND SIGNIFICANCE OF INCIDENTAL PROSTATE CARCINOMA IN TRANSURETHRAL RESECTION (TUR-P) MATERIALS BETWEEN 2014 AND 2016 AT OUR CENTER
Incidence and significance of incidental prostate carcinoma in transurethral resection (TUR-P) materials between 2014 and 2016 at our center. Like all organs, prostate has benign and malign diseases. Among benign diseases, benign prostatic hyperplasia (BPH) and among malignancies adenocarcinoma are the most common ones. One of the methods that is used to treat BPH is transurethral resection (TUR-P). In our study, we investigated incidental tumor rates observed in patients that have TUR-P due to BPH. We included 120 patients who underwent TUR-P and whose operation materials were examined in pathology department between 2014-2016 in our center. Benign diseases were noted in 117 (97.5%) of 120 patients, whereas malignant tumors were detected in 3 (2.5%) cases. In TUR-P operations performed to relieve symptoms in BPH, adenocarcinoma is reported in the literature at rates ranging from 4% to 15%. We suggest that patients with symptoms of prostatism should be carefully investigated, detailed histopathologic evaluation should be done in terms of incidental tumors and clinical pathology communication should be at maximum level.
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