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Advances in Urology
Volume 2014 (2014), Article ID 627290, 4 pages
http://dx.doi.org/10.1155/2014/627290
Clinical Study

Incidental Prostate Cancer in Transurethral Resection of the Prostate Specimens in the Modern Era

1Department of Urology, Weill Medical College of Cornell University, New York-Presbyterian Hospital, 425 E 61st Street, New York, NY 10065, USA
2Department of Pathology & Laboratory Medicine, Weill Medical College of Cornell University, New York-Presbyterian Hospital, New York, NY 10065, USA

Received 21 January 2014; Accepted 12 April 2014; Published 29 April 2014

Academic Editor: Matthew Nielsen

Copyright © 2014 Brandon Otto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. To identify rates of incidentally detected prostate cancer in patients undergoing surgical management of benign prostatic hyperplasia (BPH). Materials and Methods. A retrospective review was performed on all transurethral resections of the prostate (TURP) regardless of technique from 2006 to 2011 at a single tertiary care institution. 793 men (ages 45–90) were identified by pathology specimen. Those with a known diagnosis of prostate cancer prior to TURP were excluded ( ) from the analysis. Results. 760 patients had benign pathology; eleven (1.4%) patients were found to have prostate cancer. Grade of disease ranged from Gleason to Gleason . Nine patients had cT1a disease and two had cT1b disease. Seven patients were managed by active surveillance with no further events, one patient underwent radiation, and three patients underwent radical prostatectomy. Conclusions. Our series demonstrates that 1.4% of patients were found to have prostate cancer, of these 0.5% required treatment. Given the low incidental prostate cancer detection rate, the value of pathologic review of TURP specimens may be limited depending on the patient population.