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• W2444188049 abstract "No AccessJournal of Urology1 Mar 1986The Prognostic Significance of Post-Irradiation Biopsy Results in Patients with Prostatic Cancer Peter T. Scardino, Jeffrey M. Frankel, Thomas M. Wheeler, Randall B. Meacham, George S. Hoffman, Carie Seale, John H. Wilbanks, James Easley, and C. Eugene Carlton Peter T. ScardinoPeter T. Scardino More articles by this author , Jeffrey M. FrankelJeffrey M. Frankel More articles by this author , Thomas M. WheelerThomas M. Wheeler More articles by this author , Randall B. MeachamRandall B. Meacham More articles by this author , George S. HoffmanGeorge S. Hoffman More articles by this author , Carie SealeCarie Seale More articles by this author , John H. WilbanksJohn H. Wilbanks More articles by this author , James EasleyJames Easley More articles by this author , and C. Eugene CarltonC. Eugene Carlton More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)45712-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail To evaluate the prognostic significance of post-irradiation biopsy results in patients with prostatic cancer, we reviewed the records of 803 patients who had been treated with pelvic lymph node dissection, radioactive gold seed implantation and external beam irradiation. Of the patients 124 had 1 or more biopsies within 6 to 36 months after completion of radiotherapy when there was no evidence of local or distant recurrence of tumor. Patients were followed for a mean of 64 months (range 14 to 175 months) and received no other therapy before relapse. Over-all, 43 of these patients (35 per cent) had a positive biopsy result. The incidence of positive biopsy results correlated directly with the initial stage of the tumor, ranging from 22 per cent of stage BIN to 50 per cent of stage Cl lesions. However, biopsy results did not correlate with the grade of the tumor. Local recurrence and distant metastases were much more common among patients with a positive biopsy result (p equals 0.0006). Local recurrence developed in 58 per cent of the patients with a positive biopsy by 5 years and in 82 per cent by 10 years. Of those in whom all biopsies were negative only 18 per cent had local recurrence by 5 years and 32 per cent by 10 years. Biopsy results retained their prognostic significance even among the more favorable subset of patients whose pelvic lymph nodes were negative initially and those with a normal prostatic examination at biopsy. These results indicate that a post-irradiation prostate biopsy 6 to 36 months after completion of treatment can be used to determine the efficacy of a particular radiotherapeutic regimen as well as the success or failure of radiotherapy in an individual patient. © 1986 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByBabaian R, Donnelly B, Bahn D, Baust J, Dineen M, Ellis D, Katz A, Pisters L, Rukstalis D, Shinohara K and Thrasher J (2018) Best Practice Statement on Cryosurgery for the Treatment of Localized Prostate CancerJournal of Urology, VOL. 180, NO. 5, (1993-2004), Online publication date: 1-Nov-2008.Lotan Y, Stanfield J, Cho L, Sherwood J, Abdel-Aziz K, Chang C, Forster K, Kabbani W, Hsieh J, Choy H and Timmerman R (2018) Efficacy of High Dose Per Fraction Radiation for Implanted Human Prostate Cancer in a Nude Mouse ModelJournal of Urology, VOL. 175, NO. 5, (1932-1936), Online publication date: 1-May-2006.ZELEFSKY M, FUKS Z, HUNT M, LEE H, LOMBARDI D, LING C, REUTER V, VENKATRAMAN E and LEIBEL S (2018) HIGH DOSE RADIATION DELIVERED BY INTENSITY MODULATED CONFORMAL RADIOTHERAPY IMPROVES THE OUTCOME OF LOCALIZED PROSTATE CANCERJournal of Urology, VOL. 166, NO. 3, (876-881), Online publication date: 1-Sep-2001.BOCHNER B, FIGUEROA A, SKINNER E, LIESKOVSKY G, PETROVICH Z, BOYD S and SKINNER D (2018) SALVAGE RADICAL CYSTOPROSTATECTOMY AND ORTHOTOPIC URINARY DIVERSION FOLLOWING RADIATION FAILUREJournal of Urology, VOL. 160, NO. 1, (29-33), Online publication date: 1-Jul-1998.Long J, Fallick M, LaRock D and Rand W (2018) PRELIMINARY OUTCOMES FOLLOWING CRYOSURGICAL ABLATION OF THE PROSTATE IN PATIENTS WITH CLINICALLY LOCALIZED PROSTATE CARCINOMAJournal of Urology, VOL. 159, NO. 2, (477-484), Online publication date: 1-Feb-1998.Prendergast N, Atkins M, Schatte E, Paulson D and Walther P (2018) p53 Immunohistochemical and Genetic Alterations are Associated at High Incidence with Post-Irradiated Locally Persistent Prostate CarcinomaJournal of Urology, VOL. 155, NO. 5, (1685-1692), Online publication date: 1-May-1996.Waehre H, Åmellem Ø, Stenwig A, Tverå K, Juul M, Pettersen E and Fosså S (2018) Deoxyribonucleic Acid Cytometry and Histological Findings Before and After 125Iodine Implantation of Primary Prostate CancerJournal of Urology, VOL. 148, NO. 3 Part 1, (838-840), Online publication date: 1-Sep-1992.Marinelli D, Shanberg A, Tansey L, Sawyer D, Syed N and Puthawala A (2018) Followup Prostate Biopsy in Patients with Carcinoma of the Prostate Treated By 192Iridium Template Irradiation Plus Supplemental External Beam RadiationJournal of Urology, VOL. 147, NO. 3 Part 2, (922-925), Online publication date: 1-Mar-1992.Dugan T, Shipley W, Young R, Verhey L, Althausen A, Heney N, McManus P and Abraham E (2018) Biopsy after External Beam Radiation Therapy for Adenocarcinoma of the Prostate: Correlation with Original Histological Grade and Current Prostate Specific Antigen LevelsJournal of Urology, VOL. 146, NO. 5, (1313-1316), Online publication date: 1-Nov-1991.Drago J (2018) Editorial CommentsJournal of Urology, VOL. 146, NO. 5, (1319-1319), Online publication date: 1-Nov-1991.Kabalin J, Hodge K, McNeal J, Freiha F and Stamey T (2018) Identification of Residual Cancer in the Prostate Following Radiation Therapy: Role of Transrectal Ultrasound Guided Biopsy and Prostate Specific AntigenJournal of Urology, VOL. 142, NO. 2 Part 1, (326-331), Online publication date: 1-Aug-1989. (2018) Reply by AuthorsJournal of Urology, VOL. 142, NO. 3, (832-832), Online publication date: 1-Sep-1989.Carter G, Lieskovsky G, Skinner D and Petrovich Z (2018) Results of Local and/or Systemic Adjuvant Therapy in the Management of Pathological Stage C or D1 Prostate Cancer Following Radical ProstatectomyJournal of Urology, VOL. 142, NO. 5, (1266-1270), Online publication date: 1-Nov-1989.Stamey T, Kabalin J and Ferrari M (2018) Prostate Specific Antigen in the Diagnosis and Treatment of Adenocarcinoma of the Prostate. II. Radiation Treated PatientsJournal of Urology, VOL. 141, NO. 5, (1084-1087), Online publication date: 1-May-1989.Neerhut G, Wheeler T, Cantini M and Scardino P (2018) Salvage Radical Prostatectomy for Radiorecurrent Adenocarcinoma of the ProstateJournal of Urology, VOL. 140, NO. 3, (544-548), Online publication date: 1-Sep-1988.Gibbons R (2018) Editorial CommentsJournal of Urology, VOL. 139, NO. 5, (994-994), Online publication date: 1-May-1988.Walsh P (2018) Editorial CommentsJournal of Urology, VOL. 140, NO. 3, (548-549), Online publication date: 1-Sep-1988.Bosch R, Kurth K and Schroeder F (2018) Surgical Treatment of Locally Advanced (T3) Prostatic Carcinoma: Early ResultsJournal of Urology, VOL. 138, NO. 4 Part 1, (816-821), Online publication date: 1-Oct-1987.Schellhammer P, El-Mahdi A, Higgins E, Schultheiss T, Ladaga L and Babb T (2018) Prostate Biopsy after Definitive Treatment by Interstitial 125Iodine Implant or External Beam Radiation TherapyJournal of Urology, VOL. 137, NO. 5, (897-901), Online publication date: 1-May-1987. Volume 135Issue 3March 1986Page: 510-515 Advertisement Copyright & Permissions© 1986 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Peter T. Scardino More articles by this author Jeffrey M. Frankel More articles by this author Thomas M. Wheeler More articles by this author Randall B. Meacham More articles by this author George S. Hoffman More articles by this author Carie Seale More articles by this author John H. Wilbanks More articles by this author James Easley More articles by this author C. Eugene Carlton More articles by this author Expand All Advertisement Loading ..." @default.
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