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Prostate Cancer
Volume 2012 (2012), Article ID 690210, 5 pages
http://dx.doi.org/10.1155/2012/690210
Clinical Study

Incidentally Found Prostate Cancer and Influence on Overall Survival after Radical Cystoprostatectomy

1Department of Urology, Institute of Oncology, Vilnius University, Santariškių 1, 08660 Vilnius, Lithuania
2Cancer Control and Prevention Center, Institute of Oncology, Vilnius University, Santariškių 1, 08660 Vilnius, Lithuania
3Clinic of Surgery, Institute of Oncology, Vilnius University, Santariškių 1, 08660 Vilnius, Lithuania

Received 18 February 2012; Revised 4 April 2012; Accepted 10 April 2012

Academic Editor: Jack Schalken

Copyright © 2012 Algimantas Sruogis 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 determine incidentally found prostate cancer frequency and impact on overall survival after RCP. Patients and Methods. The records of 81 men who underwent cystoprostatectomy from January 2000 to December 2009 were reviewed. The vital status of the study group was assessed as on September 1, 2009, by passive followup, using data from the population registry. Results. The 81 men underwent RCP. The incidental prostate cancer was found in the specimens of 27 (33.3%) patients. 13 (48.1%) of 27 prostate cancer cases were clinically significant. For 3 patients (11.1%) an extraprostatic extension was found. For 2 patients (7.4%)—positive margins, for 1 patient (3.7%)—Gleason sum 8, and for the rest 7 patients bigger than 0.5 cm3 volume tumor, and Gleason sum 7 was found. The mean follow-up time was 3 9 . 2 ± 3 3 . 8 months (varies from 0.8 to 131.2 months). The patients with bladder cancer and incidentally found prostate cancer lived shorter ( 2 8 . 1 ± 2 7 . 5 and 4 5 . 5 ± 3 5 . 4 0 months). Higher overall survival ( 𝑃 = 0 . 0 3 ) was found in the patient group with bladder cancer without incidentally diagnosed prostate cancer. Conclusion. There are indications that in this small study prostate cancer has influenced on patients' survival with bladder cancer after radical cystoprostatectomy.