临床局限性前列腺癌的影像学检查。第一部分:根治性前列腺切除术。

Misop Han, A. Partin
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引用次数: 15

摘要

目前,患者和医生可根据术前参数,如前列腺特异性抗原(PSA)水平、临床分期(肿瘤、淋巴结、转移)、前列腺活检标本的Gleason评分等,使用多种形态图预测病理分期。根据最终病理阶段的可能性以及患者的合并症和预期寿命,患者和医生可以决定最终的局部治疗、全身治疗还是姑息治疗是最合适的。nomogram也基于术前参数来预测手术后无复发的生化生存结果。这些图可以帮助患者了解根治性前列腺切除术后的长期治愈率。
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Nomograms for clinically localized prostate cancer. Part I: radical prostatectomy.
Many nomograms are currently available for patients' and physicians' use for prediction of pathologic stage based on preoperative parameters, such as prostate-specific antigen (PSA) level, clinical stage (tumor, node, metastasis), and Gleason score from prostate biopsy specimen. Based on the probability of final pathologic stage as well as patient comorbidity and life expectancy, patients and physicians can decide whether definitive local therapy, systemic therapy, or palliative therapy would be most appropriate. Nomograms have also been developed based on preoperative parameters for prediction of biochemical recurrence-free survival outcome following surgery. These nomograms can help patients understand the long-term cancer cure rates after radical prostatectomy.
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