전립선암 32례에 대한 임상적 고찰
A Clinical Observation on Thirty Two Cases of Prostatic Carcinoma
임희관, 김호성,
소속 상세정보
임희관 ( )
원광대학교 의과대학 내과학교실
김호성 ( )
원광대학교
KMID : 0358319930340010083
Abstract
Between January 1985 and December 1991, 32 cases with prostatic carcinoma were admitted to the Department of Urology, Wonkwang University Hospital. The incidence of prostatic carcinoma was 1.0% of all inpatients, 1.4% of male inpatients and 19.5%
of all
male genitourinary tract tumors. The patients age ranged from 51 to 84 years with a man of 68.3 years. The most common presenting symptom was prostatism in 28 cases (87.5%). On digital rectal examination. 14 cases (43.8%) had a localized hard
prostate
and 8 cases(25%) had a diffuse hard a diffuse hard prostate. Excretory urography revealed elevation of bladder base in 23 cases(88.5%). Biopsy or cytology of the prostate was performed in 32 cases by transrectal needle biopsy, fine needle
aspiration
cytology and TUR biopsy. Of the 32 case, 20 cases (62.5%) were stage D2, 4 cases(12.5%) stage C, 2 cases(6.3%) stage B1, 4 cases(12.5%) stage A1 and 2 cases refused further examination with treatment. Endocrine therapy was performed in 22 cases
and
radical prostatectomy with pelvic lymphadenectomy was performed in 2 cases. Of all 32 cases were followed for 9 months. Of the 4 cases with clinical stage A1, 2 cases died at 10, 24 months after initial treatment, respectively. Six cases with
clinical
stage B1 and C were proved to be alive. Of the 20 cases with clinical stage D2, 10 cases died and their mean survival period was 21.7 months.
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