Research Article

Pelvic Radiotherapy versus Radical Prostatectomy with Limited Lymph Node Sampling for High-Grade Prostate Adenocarcinoma

Table 1

Pretreatment and treatment characteristics.

Frequencies1 (%)Definitive RT ()Prostatectomy () value

Biopsy Gleason score
 ≤7018 (37%)<0.001
 ≥871 (100%)31 (63%)
Clinical T stage
 ≤T263 (88.7%)47 (96%)0.162
 T38 (11.3%)2 (4%)
Clinical N stage
 NX/N067 (94.4%)49 (98%)0.323
 N14 (5.6%)1 (2%)
Neoadjuvant and/or adjuvant ADT
 Yes68 (95.8%)18 (36%)<0.001
 No3 (4.2%)32 (64%)
Preexisting diabetes
 Yes9 (12.7%)10 (20%)0.276
 No62 (87.3%)40 (80%)
Preexisting coronary artery disease
 Yes15 (21.1%)7 (14%)0.317
 No56 (78.9%)43 (86%)

Means2 (range)

Initial PSA:9.58 (1.1–19.0)11.52 (2.9–50.0)0.350
Risk of LN involvement13.02% (0–36.0%)8.91% (0–36.0%)0.006
Age at initial treatment69.63 (50.44–83.61)60.91 (42.43–75.34)<0.001
Months of biochemical follow-up73.74 (12.37–172.0)60.03 (12.47–166.87)0.045

Pearson test. Independent samples Mann-Whitney test. value < 0.05 is considered statistically significant.
3 patients clinically classified as T3 via MRI; 4 via DRE; and 1 via CT.
2 patients clinically classified as T3 via MRI.
Based on updated Partin tables nomogram [6].
NX: lymph nodes not sampled; N0: lymph nodes negative for disease; N1: lymph nodes positive for disease; RT: radiotherapy; PSA: prostate specific antigen.