Deferred treatment of clinically localized low grade prostate cancer : the experience from a prospective series at the Karolinska hospital.
Detection and treatment of early stage prostate cancer. Seminar. USA, 1993/12.
From 1978 to 1982,172 patients with stages T1 to 3NxM0 prostate cancer were included in a surveillance protocol with deferred treatment on symptomatic progression.
Median patient age at diagnosis was 68 years (range 38 to 89 years).
Mean followup was 80±32 months.
Of the patients 58% had local and 19% had distant progression, and 52% had received treatment at followup.
Disease specific survival rate at 10 years was 80% for the total series, 84% for the subgroup with stage T1 or T2 tumor and 92% for those with stage T1 or T2 tumor who were less than 70 years old at diagnosis.
For the subgroup with stage T3 tumor the disease specific survival rate at 9 years was 70%. In all subgroups the competing mortality rate was higher than the prostate cancer mortality rate.
Mots-clés Pascal : Epithélioma glandulaire, Prostate, Stade précoce, Oestrogène, Résection, Endoscopie, Urètre, Traitement, Evolution, Survie, Homme, Mâle, Suède, Europe, Etude longitudinale, Appareil urinaire pathologie, Prostate pathologie, Appareil génital mâle pathologie, Tumeur maligne, Hormone, Chimiothérapie, Traitement instrumental
Mots-clés Pascal anglais : Adenocarcinoma, Prostate, Early stage, Estrogen, Resection, Endoscopy, Urethra, Treatment, Evolution, Survival, Human, Male, Sweden, Europe, Follow up study, Urinary system disease, Prostate disease, Male genital diseases, Malignant tumor, Hormone, Chemotherapy, Instrumentation therapy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0217770
Code Inist : 002B14D02. Création : 09/06/1995.