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- W2417577839 abstract "No AccessJournal of Urology1 May 1989Unsuspected Adenocarcinoma of the Prostate in Patients Undergoing Cystoprostatectomy for other Causes: Incidence, Histology and Morphometric Observations John N. Kabalin, John E. McNeal, Howard M. Price, Fuad S. Freiha, and Thomas A. Stamey John N. KabalinJohn N. Kabalin More articles by this author , John E. McNealJohn E. McNeal More articles by this author , Howard M. PriceHoward M. Price 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)41178-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Cystoprostatectomy specimens were evaluated in 66 male patients operated on for a pathological condition of the bladder with no evidence of prostatic malignancy on preoperative clinical assessment. There were 38 prostate cancers identified in 25 of 66 patients (38 per cent). Multiple foci of adenocarcinoma were noted in 10 of 25 patients (40 per cent). The mean tumor volume was 0.11 cc, with half of the cancers being less than or equal to 0.01 cc in volume. All 38 cancers were completely localized to the prostate and exact anatomical sites of origin for each of the cancers within the prostate were mapped. Whereas anatomical distribution of the cancers in the anteroposterior dimension was roughly uniform, a distinct predominance of apical prostatic cancers was observed. Possible anatomical explanations and implications of these findings in terms of the apical surgical margins at radical prostatectomy and cystoprostatectomy, and the new technologies currently available for diagnosis of prostate cancer are discussed. © 1989 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byRozet F, Lesur G, Cathelineau X, Barret E, Smyth G, Soon S and Vallancien G (2018) Oncological Evaluation of Prostate Sparing Cystectomy: The Montsouris Long-Term ResultsJournal of Urology, VOL. 179, NO. 6, (2170-2175), Online publication date: 1-Jun-2008.Revelo M, Cookson M, Chang S, Shook M, Smith J and Shappell S (2018) Incidence and Location of Prostate and Urothelial Carcinoma in Prostates from Cystoprostatectomies: Implications for Possible Apical Sparing SurgeryJournal of Urology, VOL. 179, NO. 5S, (S27-S32), Online publication date: 1-May-2008.REVELO M, COOKSON M, CHANG S, SHOOK M, SMITH J and SHAPPELL S (2018) Incidence and Location of Prostate and Urothelial Carcinoma in Prostates From Cystoprostatectomies: Implications for Possible Apical Sparing SurgeryJournal of Urology, VOL. 171, NO. 2, (646-651), Online publication date: 1-Feb-2004.Cooner W, Mosley B, Rutherford C, Beard J, Pond H, Terry W, Igel T and Kidd D (2018) Prostate cancer detection in a clinical urological practice by ultrasonography, digital rectal examination and prostate specific antigenJournal of Urology, VOL. 167, NO. 2 Part 2, (966-974), Online publication date: 1-Feb-2002.VALLANCIEN G, ABOU EL FETTOUH H, CATHELINEAU X, BAUMERT H, FROMONT G and GUILLONNEAU B (2018) Cystectomy with Prostate Sparing for Bladder Cancer in 100 Patients: 10-year ExperienceJournal of Urology, VOL. 168, NO. 6, (2413-2417), Online publication date: 1-Dec-2002.EMILIOZZI P, LONGHI S, SCARPONE P, PANSADORO A, DePAULA F and PANSADORO V (2018) THE VALUE OF A SINGLE BIOPSY WITH 12 TRANSPERINEAL CORES FOR DETECTING PROSTATE CANCER IN PATIENTS WITH ELEVATED PROSTATE SPECIFIC ANTIGENJournal of Urology, VOL. 166, NO. 3, (845-850), Online publication date: 1-Sep-2001.HAUTMANN S, CONRAD S, HENKE R, ERBERSDOBLER A, SIMON J, STRAUB M, GRAEFEN M, HAUTMANN R and HULAND H (2018) DETECTION RATE OF HISTOLOGICALLY INSIGNIFICANT PROSTATE CANCER WITH SYSTEMATIC SEXTANT BIOPSIES AND FINE NEEDLE ASPIRATION CYTOLOGYJournal of Urology, VOL. 163, NO. 6, (1734-1738), Online publication date: 1-Jun-2000.HOEDEMAEKER R, RIETBERGEN J, KRANSE R, SCHRÖDER F and van der KWAST T (2018) HISTOPATHOLOGICAL PROSTATE CANCER CHARACTERISTICS AT RADICAL PROSTATECTOMY AFTER POPULATION BASED SCREENINGJournal of Urology, VOL. 164, NO. 2, (411-415), Online publication date: 1-Aug-2000.RIETBERGEN J, HOEDEMAEKER R, BOEKEN KRUGER A, KIRKELS W and SCHRODER F (2018) THE CHANGING PATTERN OF PROSTATE CANCER AT THE TIME OF DIAGNOSIS: CHARACTERISTICS OF SCREEN DETECTED PROSTATE CANCER IN A POPULATION BASED SCREENING STUDYJournal of Urology, VOL. 161, NO. 4, (1192-1198), Online publication date: 1-Apr-1999.Humphrey P, Keetch D, Smith D, Shepherd D and Catalona W (2018) Prospective characterization of pathological features of Prostatic Carcinomas Detected Via Serum Prostate Specific Antigen Based ScreeningJournal of Urology, VOL. 155, NO. 3, (816-820), Online publication date: 1-Mar-1996.McLeod D (2018) Editorial: Prostate Cancer DiagnosisJournal of Urology, VOL. 153, NO. 5, (1570-1571), Online publication date: 1-May-1995.Ohori M, Wheeler T, Dunn J, Stamey T and Scardino P (2018) The Pathological Features and Prognosis of Prostate Cancer Detectable With Current Diagnostic TestsJournal of Urology, VOL. 152, NO. 5 Part 2, (1714-1720), Online publication date: 1-Nov-1994.Kim E and Ignatoff J (2018) Unsuspected Bladder Carcinoma in Patients Undergoing Radical ProstatectomyJournal of Urology, VOL. 152, NO. 2 Part 1, (397-400), Online publication date: 1-Aug-1994.Carroll P, Sugimura K, Cohen M and Hricak H (2018) Detection and Staging of Prostatic Carcinoma after Transurethral Resection or Open Enucleation of the Prostate: Accuracy of Magnetic Resonance ImagingJournal of Urology, VOL. 147, NO. 2, (402-406), Online publication date: 1-Feb-1992.Hammerer P, Loy V, Dieringer J and Huland H (2018) Prostate Cancer in Nonurological Patients with Normal Prostates on Digital Rectal ExaminationJournal of Urology, VOL. 147, NO. 3 Part 2, (833-836), Online publication date: 1-Mar-1992.Terris M, Freiha F, McNeal J and Stamey T (2018) Efficacy of Transrectal Ultrasound for Identification of Clinically Undetected Prostate CancerJournal of Urology, VOL. 146, NO. 1, (78-84), Online publication date: 1-Jul-1991.Vallancien G, Prapotnich D, Veillon B, Brisset J and Andre-Bougaran J (2018) Systematic Prostatic Biopsies in 100 Men with No Suspicion of Cancer on Digital Rectal ExaminationJournal of Urology, VOL. 146, NO. 5, (1308-1312), Online publication date: 1-Nov-1991.Palken M, Cobb O, Simons C, Warren B and Aldape H (2018) Prostate Cancer: Comparison of Digital Rectal Examination and Transrectal Ultrasound for ScreeningJournal of Urology, VOL. 145, NO. 1, (86-90), Online publication date: 1-Jan-1991.Chodak G (2018) Editorial CommentsJournal of Urology, VOL. 145, NO. 1, (90-91), Online publication date: 1-Jan-1991. (2018) Reply by AuthorsJournal of Urology, VOL. 145, NO. 2, (329-329), Online publication date: 1-Feb-1991.Davis B and Weigel J (2018) Adenocarcinoma of the Prostate Discovered in 2 Young Patients Following Total Prostatovesiculectomy for Refractory ProstatitisJournal of Urology, VOL. 144, NO. 3, (744-745), Online publication date: 1-Sep-1990.Stamey T (2018) Editorial CommentsJournal of Urology, VOL. 143, NO. 2, (319-319), Online publication date: 1-Feb-1990.Stamey T (2018) Editorial CommentsJournal of Urology, VOL. 143, NO. 3, (544-544), Online publication date: 1-Mar-1990.Stamey T (2018) Editorial CommentsJournal of Urology, VOL. 143, NO. 6, (1153-1154), Online publication date: 1-Jun-1990. Volume 141Issue 5May 1989Page: 1091-1093 Advertisement Copyright & Permissions© 1989 by The American Urological Association Education and Research, Inc.MetricsAuthor Information John N. Kabalin More articles by this author John E. McNeal More articles by this author Howard M. Price More articles by this author Fuad S. Freiha More articles by this author Thomas A. Stamey More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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