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Clınıcal And Pathologıcal Characterıstıcs Of pT0 Patıents After Robot Assısted Laparoscopıc Radıcal Prostatectomy
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Original Article
VOLUME: 53 ISSUE: 2
P: 231-236
2020

Clınıcal And Pathologıcal Characterıstıcs Of pT0 Patıents After Robot Assısted Laparoscopıc Radıcal Prostatectomy

Acta Haematol Oncol Turc 2020;53(2):231-236
DOI: 10.5505/aot.2020.36036
Bahri Gök 1
Erdem Koç 1
1. Ankara Yildirim Beyazit University, School of Medicine, Department of Urology Afiliated with Ankara City Hospital, Ankara, Turkey
2.
No information available.
No information available
Received Date: 2020-03-27T00:41:41
Accepted Date: 2020-09-04T10:08:52
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Abstract

INTRODUCTION

To determine the pathological and clinical characteristics of these patients with pT0 ratio in the pathology specimen of patients undergoing robot-assisted laparoscopic radical prostatectomy and extended pelvic lymph node dissection.

METHODS

The data of 1950 patients who underwent robot-assisted laparoscopic radical prostatectomy and bilateral dilated pelvic lymph node dissection in a single center between 2009-2019 were analyzed retrospectively. Patients' age, preoperative serum PSA, clinical stage, prostate biopsy results (Gleason grade, biopsy number, total core and positive core number, tumor length and percentage in core), weight of pathological specimen and other pathology data were recorded. Increasing PSA level above 0.2 ng / ml in postoperative follow-up was accepted as biochemical recurrence.

RESULTS

16 of the 1950 patients who underwent robot-assisted laparoscopic radical prostatectomy were reported as pT0. The mean PSA value was 9.3 ± 1.06 ng / ml (0.25-34.6). Ten patients with pT0 pathology after RYLRP had neoadjuvant hormone therapy (NHT) and 1 patient had a history of TUR-P. Five patients had no history of NHT or TUR-P and were reported as pT0 in RYLRP due to low-risk prostate cancer in biopsy. The average prostate weight was 60.3 ± 30.8 g (26-154). The mean follow-up was 18.64 ± 4.66 (12-80 months). Recurrence of PSA was observed in 1 patient and received radiotherapy.

DISCUSSION AND CONCLUSION

Both open and robotic radical prostatectomy pT0 is rare. In a small group of patients receiving preoperative treatment, follow-up should be done carefully in terms of recurrence and systemic progression.