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• W174668522 abstract "No AccessJournal of Urology1 Sep 1989The Role of Perineural Space Invasion in the Local Spread of Prostatic Adenocarcinoma Arnauld Villers, John E. McNeal, Elise A. Redwine, Fuad S. Freiha, and Thomas A. Stamey Arnauld VillersArnauld Villers More articles by this author , John E. McNealJohn E. McNeal More articles by this author , Elise A. RedwineElise A. Redwine More articles by this author , Fuad S. FreihaFuad S. Freiha More articles by this author , and Thomas A. StameyThomas A. Stamey More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38881-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail In 176 radical prostatectomy specimens areas of capsule penetration by cancer and positive surgical margins were quantified and located over the prostate surface. The presence of cancer within the perineural space was sought in these areas and compared to the normal distribution of prostatic nerve branches. Capsule penetration was found in 78 of 156 stage B carcinomas, and in 39 of these 78 (50 per cent) it occurred entirely by cancer extension through the capsule within perineural spaces. In the remaining 39 prostates capsule penetration by perineural space invasion predominated but direct spread also was found. Most often, perineural space invasion followed the oblique vertical course of nerve branches that extended superiorly to the superior pedicle near the prostate base. In such cases capsule penetration areas were localized near the superior margin of the cancer, and in 11 per cent positive superior pedicle margins resulted from continued perineural space invasion outside the capsule. In cancers near the prostate apex capsule penetration by perineural space invasion produced positive margins in 89 per cent of 18 cases because of the short inferior pedicle. The role of perineural space invasion by cancer was less prominent in 4 of 20 stage A cancers that showed capsule penetration. © 1989 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByAl-Hussain T, Carter H and Epstein J (2018) Significance of Prostate Adenocarcinoma Perineural Invasion on Biopsy in Patients Who are Otherwise Candidates for Active SurveillanceJournal of Urology, VOL. 186, NO. 2, (470-473), Online publication date: 1-Aug-2011.Smith J, Chan R, Chang S, Herrell S, Clark P, Baumgartner R and Cookson M (2018) A Comparison of the Incidence and Location of Positive Surgical Margins in Robotic Assisted Laparoscopic Radical Prostatectomy and Open Retropubic Radical ProstatectomyJournal of Urology, VOL. 178, NO. 6, (2385-2390), Online publication date: 1-Dec-2007.SHARIAT S, KHODDAMI S, SABOORIAN H, KOENEMAN K, SAGALOWSKY A, CADEDDU J, McCONNELL J, HOLMES M and ROEHRBORN C (2018) Lymphovascular Invasion is a Pathological Feature of Biologically Aggressive Disease in Patients Treated With Radical ProstatectomyJournal of Urology, VOL. 171, NO. 3, (1122-1127), Online publication date: 1-Mar-2004.EPSTEIN J and POTTER S (2018) THE PATHOLOGICAL INTERPRETATION AND SIGNIFICANCE OF PROSTATE NEEDLE BIOPSY FINDINGS: IMPLICATIONS AND CURRENT CONTROVERSIESJournal of Urology, VOL. 166, NO. 2, (402-410), Online publication date: 1-Aug-2001.GRAEFEN M, HAESE A, PICHLMEIER U, HAMMERER P, NOLDUS J, BUTZ K, ERBERSDOBLER A, HENKE R, MICHL U, FERNANDEZ S and HULAND H (2018) A VALIDATED STRATEGY FOR SIDE SPECIFIC PREDICTION OF ORGAN CONFINED PROSTATE CANCER: A TOOL TO SELECT FOR NERVE SPARING RADICAL PROSTATECTOMYJournal of Urology, VOL. 165, NO. 3, (857-863), Online publication date: 1-Mar-2001.D’AMICO A, WU Y, CHEN M, NASH M, RENSHAW A and RICHIE J (2018) PERINEURAL INVASION AS A PREDICTOR OF BIOCHEMICAL OUTCOME FOLLOWING RADICAL PROSTATECTOMY FOR SELECT MEN WITH CLINICALLY LOCALIZED PROSTATE CANCERJournal of Urology, VOL. 165, NO. 1, (126-129), Online publication date: 1-Jan-2001.de la TAILLE A, RUBIN M, BAGIELLA E, OLSSON C, BUTTYAN R, BURCHARDT T, KNIGHT C, O'TOOLE K and KATZ A (2018) CAN PERINEURAL INVASION ON PROSTATE NEEDLE BIOPSY PREDICT PROSTATE SPECIFIC ANTIGEN RECURRENCE AFTER RADICAL PROSTATECTOMY?Journal of Urology, VOL. 162, NO. 1, (103-106), Online publication date: 1-Jul-1999.STONE N, STOCK R, PARIKH D, YEGHIAYAN P and UNGER P (2018) PERINEURAL INVASION AND SEMINAL VESICLE INVOLVEMENT PREDICT PELVIC LYMPH NODE METASTASIS IN MEN WITH LOCALIZED CARCINOMA OF THE PROSTATEJournal of Urology, VOL. 160, NO. 5, (1722-1726), Online publication date: 1-Nov-1998.WIEDER J and SOLOWAY M (2018) INCIDENCE, ETIOLOGY, LOCATION, PREVENTION AND TREATMENT OF POSITIVE SURGICAL MARGINS AFTER RADICAL PROSTATECTOMY FOR PROSTATE CANCERJournal of Urology, VOL. 160, NO. 2, (299-315), Online publication date: 1-Aug-1998.AUS G, ABRAHAMSSON P, AHLGREN G, HUGOSSON J, LUNDBERG S, SCHAIN M, SCHELIN S and PEDERSEN K (2018) HORMONAL TREATMENT BEFORE RADICAL PROSTATECTOMY: A 3-YEAR FOLLOWUPJournal of Urology, VOL. 159, NO. 6, (2013-2017), Online publication date: 1-Jun-1998.UKIMURA O, TRONCOSO P, RAMIREZ E and BABAIAN R (2018) PROSTATE CANCER STAGING: CORRELATION BETWEEN ULTRASOUND DETERMINED TUMOR CONTACT LENGTH AND PATHOLOGICALLY CONFIRMED EXTRAPROSTATIC EXTENSIONJournal of Urology, VOL. 159, NO. 4, (1251-1259), Online publication date: 1-Apr-1998.IKONEN S, KARKKAINEN P, KIVISAARI L, SALO J, TAARI K, VEHMAS T, TERVAHARTIALA P and RANNIKKO S (2018) MAGNETIC RESONANCE IMAGING OF CLINICALLY LOCALIZED PROSTATIC CANCERJournal of Urology, VOL. 159, NO. 3, (915-919), Online publication date: 1-Mar-1998.Stephenson R, Middleton R and Abbott T (2018) Wide Excision (Nonnerve Sparing) Radical Retropubic Prostatectomy Using an Initial Perirectal DissectionJournal of Urology, VOL. 157, NO. 1, (251-255), Online publication date: 1-Jan-1997.Badalament R, Craig M, Peller P, Young D, Bahn D, Kochie P, O'Dowd G and Veltri R (2018) An Algorithm for Predicting Nonorgan Confined Prostate Cancer Using the Results Obtained from Sextant Core Biopsies with Prostate Specific Antigen LevelJournal of Urology, VOL. 156, NO. 4, (1375-1380), Online publication date: 1-Oct-1996.Ward J, Nowacki M, Sands J, Conner R and Huisman T (2018) Malignant Cytological Washings from Radical Prostatectomy Specimens: A Possible Mechanism for Local Recurrence of Prostate Cancer Following Surgical Treatment of Organ Confined DiseaseJournal of Urology, VOL. 156, NO. 4, (1381-1385), Online publication date: 1-Oct-1996.Smith R, Partin A, Epstein J and Brendler C (2018) Extended Followup of the Influence of Wide Excision of the Neurovascular Bundle(s) on Prognosis in Men with Clinically Localized Prostate Cancer and Extensive Capsular PerforationJournal of Urology, VOL. 156, NO. 2, (454-458), Online publication date: 1-Aug-1996.Perrotti M, Kaufman R, Jennings T, Thaler H, Soloway S, Rifkin M and Fisher H (2018) Endo-Rectal Coil Magnetic Resonance Imaging in Clinically Localized Prostate Cancer: Is it Accurate?Journal of Urology, VOL. 156, NO. 1, (106-109), Online publication date: 1-Jul-1996.Bostwick D, Qian J, Bergstralh E, Dundore P, James D, Myers R and Oesterling J (2018) Prediction of Capsular Perforation and Seminal Vesicle Invasion in Prostate CancerJournal of Urology, VOL. 155, NO. 4, (1361-1367), Online publication date: 1-Apr-1996.Oefelein M, Kaul K, Herz B, Blum M, Holland J, Keeler T, Cook W and Ignatoff J (2018) Molecular Detection of Prostate Epithelial Cells from the Surgical Field and Peripheral Circulation during Radical ProstatectomyJournal of Urology, VOL. 155, NO. 1, (238-242), Online publication date: 1-Jan-1996.Greene D, Rogers E, Wessels E, Wheeler T, Taylor S, Santucci R, Thompson T and Scardino P (2018) Some Small Prostate Cancers are Nondiploid by Nuclear Image Analysis: Correlation of Deoxyribonucleic Acid Ploidy Status and Pathological FeaturesJournal of Urology, VOL. 151, NO. 5, (1301-1307), Online publication date: 1-May-1994.Ackerman D, Barry J, Wicklund R, Olson N and Lowe B (2018) Analysis of Risk Factors Associated with Prostate Cancer Extension to the Surgical Margin and Pelvic Node Metastasis at Radical ProstatectomyJournal of Urology, VOL. 150, NO. 6, (1845-1850), Online publication date: 1-Dec-1993.Villers A, Mcneal J, Freiha F, Boccon-Gibod L and Stamey T (2018) Invasion Of Denonvilliers’ Fascia in Radical Prostatectomy SpecimensJournal of Urology, VOL. 149, NO. 4, (793-798), Online publication date: 1-Apr-1993.Rosen M, Goldstone L, Lapin S, Wheeler T and Scardino P (2018) Frequency and Location of Extracapsular Extensionand Positive Surgical Margins in Radical Prostatectomy SpecimensJournal of Urology, VOL. 148, NO. 2 Part 1, (331-337), Online publication date: 1-Aug-1992.Yu-Cheng S, Geldof A, Newling D and Rao B (2018) Progression Delay of Prostate Tumor Skeletal Metastasis Effects by BisphosphonatesJournal of Urology, VOL. 148, NO. 4, (1270-1273), Online publication date: 1-Oct-1992.Chodak G (2018) Editorial CommentsJournal of Urology, VOL. 145, NO. 1, (129-130), Online publication date: 1-Jan-1991.Hinman F (2018) Screening for Prostatic CarcinomaJournal of Urology, VOL. 145, NO. 1, (126-129), Online publication date: 1-Jan-1991.Stamey T (2018) Editorial CommentsJournal of Urology, VOL. 143, NO. 3, (544-544), Online publication date: 1-Mar-1990.Villers A, Terris M, McNeal J and Stamey T (2018) Ultrasound Anatomy of the Prostate: The Normal Gland and Anatomical VariationsJournal of Urology, VOL. 143, NO. 4, (732-738), Online publication date: 1-Apr-1990.Stamey T, Villers A, McNeal J, Link P and Freiha F (2018) Positive Surgical Margins at Radical Prostatectomy: Importance of the Apical DissectionJournal of Urology, VOL. 143, NO. 6, (1166-1172), Online publication date: 1-Jun-1990.Walsh P (2018) Editorial CommentsJournal of Urology, VOL. 143, NO. 6, (1172-1172), Online publication date: 1-Jun-1990. Volume 142Issue 3September 1989Page: 763-768 Advertisement Copyright & Permissions© 1989 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Arnauld Villers More articles by this author John E. McNeal More articles by this author Elise A. Redwine More articles by this author Fuad S. Freiha More articles by this author Thomas A. Stamey More articles by this author Expand All Advertisement Loading ..." @default.
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• W174668522 title "The Role of Perineural Space Invasion in the Local Spread of Prostatic Adenocarcinoma" @default.
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