1987 Volume 78 Issue 11 Pages 1998-2003
There have been many controversies regarding radical surgery for both localized and locally extensive carcinoma of the prostate. In this paper we aimed to assess the indication of radical prostatectomy or radical cystoprostatectomy to the prostatic carcinoma from our own results of the surgical cases.
The surgical procedures experienced in our department were classified as 42 cases of radical prostatectomy, 8 of cytoprostatectomy and one of pelvic exenteration. The endocrine therapy was added to the non-curative cases postoperatively. As to stage A cases, all were alive without cancer and the five-year survival rate was 100%. With regard to stage B cases, 19 of 22 were well without carcinoma (86%) and the five-year survival rate was 87.5%. Of 16 cases with stage C, 11 were alive without cancer (69%). Four of 6 cases with stage D showed no evidence of disease after surgery (67%). The five-year survival rates of stage C and D were 68.2% and 66.7%, respectively. Pathological findings revealed high rates of cancer invasion to the surrounding tissues in cases of stage B2 and lymphnode metastases in stage C cases. From the present clinical investigation, radical surgery would be indicated for the treatment of localized prostatic carcinoma, and radical surgery combined with the endocrine therapy for invasive carcinoma.
