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  • Title: [Diagnosis and treatment of incidental prostate cancer following TUPVP (a report of 15 cases)].
    Author: Gu X, Zhu Q, Zhang P, Zhang Y, Lu Z, Xu Y, Huang S.
    Journal: Zhonghua Nan Ke Xue; 2004 Nov; 10(11):849-50, 854. PubMed ID: 15595689.
    Abstract:
    OBJECTIVE: To investigate the diagnosis and treatment of incidental prostate cancer (IPC) following transurethral plasma kinetic vaporization prostatectomy (TUPVP). METHODS: Pathological examinations were conducted on 134 benign prostate hyperplasia specimens by means of series microtomy after TUPVP. RESULTS: Fifteen cases of IPC were detected from the total number of TUPVP specimens, with a pick-up rate of 11.2%. Dual testicle resection with endocrine therapy was performed in 4 cases of Stage A2 patients, and endocrine therapy alone was conducted in 9 cases of Stage A1 patients. Thirteen patients were followed up for 7 to 15 months and all lived without cancer (PSA 0.15 - 4.0 microg/L). CONCLUSION: TUPVP and series microtomy may be helpful to the diagnosis of IPC. Patients at Stage A1 need mere endocrine therapy, while those at Stage A2 warrant dual testicle resection.
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