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Thus, the aim of this study was to enhance the utility of the grade group system by integrating the presence of IDC‐P. Methods: This study was a retrospective evaluation of 1019 patients with prostate cancer who underwent radical prostatectomy between 2005 and 2013 without neoadjuvant or adjuvant therapy. The data on age, prostate‐specific antigen (PSA) level at diagnosis, pathological T stage (pT), presence of Gleason pattern 5 (GP5), presence of IDC‐P, and surgical margin status were analyzed to predict PSA recurrence after prostatectomy. Results: The median patient age was 67 (range, 45‐80) years and the median initial PSA level was 6.8 (range, 0.4‐82) ng/mL. The median follow‐up period was 82 (range, 0.7‐148) months. IDC‐P was detected in 157 patients (15.4%). Among these patients, the increase in the positive rate of IDC‐P correlated with tumor upgrading. 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The influence of the presence of intraductal carcinoma of the prostate on the grade group system's prognostic performance
http://hdl.handle.net/2237/00030697
http://hdl.handle.net/2237/0003069742bad754-6425-485c-b106-20bcdc326560
名前 / ファイル | ライセンス | アクション |
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Final_clean_manuscript (464.6 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2019-09-24 | |||||
タイトル | ||||||
タイトル | The influence of the presence of intraductal carcinoma of the prostate on the grade group system's prognostic performance | |||||
言語 | en | |||||
著者 |
Kato, Masashi
× Kato, Masashi× Hirakawa, Akihiro× Kobayashi, Yumiko× Yamamoto, Akiyuki× Ishida, Ryo× Sano, Tomoyasu× Kimura, Tohru× Majima, Tsuyoshi× Ishida, Shohei× Funahashi, Yasuhito× Sassa, Naoto× Fujita, Takashi× Matsukawa, Yoshihisa× Yamamoto, Tokunori× Hattori, Ryohei× Gotoh, Momokazu× Tsuzuki, Toyonori |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | This is the peer reviewed version of the following article: [ Kato, M, Hirakawa, A, Kobayashi, Y, et al. The influence of the presence of intraductal carcinoma of the prostate on the grade group system's prognostic performance. The Prostate. 2019; 79: 1065‐ 1070. https://doi.org/10.1002/pros.23818], which has been published in final form at [https://doi.org/10.1002/pros.23818]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | intraductal carcinoma of the prostate (IDC‐P) | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | prostate cancer | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | prostatectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | the grade group system | |||||
抄録 | ||||||
内容記述 | Background: Although the presence of intraductal carcinoma of the prostate (IDC‐P) influences biochemical failure in radical prostatectomy patients, no data are available regarding the impact of its integration into the classification grade group system. Thus, the aim of this study was to enhance the utility of the grade group system by integrating the presence of IDC‐P. Methods: This study was a retrospective evaluation of 1019 patients with prostate cancer who underwent radical prostatectomy between 2005 and 2013 without neoadjuvant or adjuvant therapy. The data on age, prostate‐specific antigen (PSA) level at diagnosis, pathological T stage (pT), presence of Gleason pattern 5 (GP5), presence of IDC‐P, and surgical margin status were analyzed to predict PSA recurrence after prostatectomy. Results: The median patient age was 67 (range, 45‐80) years and the median initial PSA level was 6.8 (range, 0.4‐82) ng/mL. The median follow‐up period was 82 (range, 0.7‐148) months. IDC‐P was detected in 157 patients (15.4%). Among these patients, the increase in the positive rate of IDC‐P correlated with tumor upgrading. The grade groups (GGs) were as follows: GG1 without IDC‐P, 16.0% (n = 163); GG2 without IDC‐P, 46.1% (n = 470); GG3 without IDC‐P, 15.7% (n = 160); GG4 without IDC‐P, 2.6% (n = 27); GG5 without IDC‐P, 4.1% (n = 42); any GG with IDC‐P, 15.4% [n = 157; GG 2 (n = 29); GG3 (n = 60); GG4 (n = 13); GG5 (n = 55)]. Any grade Group with IDC‐P showed significantly worse prognosis than any other group without IDC‐P (P < 0.0001). In a multivariate analysis, integration of the IDC‐P into the Grade Groups, the PSA level at diagnosis, and the surgical margin status were significant prognostic predictors (P < 0.0001, < 0.0001 and < 0.0001, respectively). Conclusions: Integrating the presence of IDC‐P into the grade group system will result in more accurate predictions of patient outcome. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
内容記述 | ||||||
内容記述 | ファイル公開:2020-07-01 | |||||
言語 | ja | |||||
内容記述タイプ | Other | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Wiley | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1002/pros.23818 | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0270-4137 | |||||
書誌情報 |
en : The Prostate 巻 79, 号 10, p. 1065-1070, 発行日 2019-07-01 |
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著者版フラグ | ||||||
値 | author |