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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\u2010P. 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\u2010specific antigen (PSA) level at diagnosis, pathological T stage (pT), presence of Gleason pattern 5 (GP5), presence of IDC\u2010P, and surgical margin status were analyzed to predict PSA recurrence after prostatectomy. Results: The median patient age was 67 (range, 45\u201080) years and the median initial PSA level was 6.8 (range, 0.4\u201082) ng/mL. The median follow\u2010up period was 82 (range, 0.7\u2010148) months. IDC\u2010P was detected in 157 patients (15.4%). Among these patients, the increase in the positive rate of IDC\u2010P correlated with tumor upgrading. The grade groups (GGs) were as follows: GG1 without IDC\u2010P, 16.0% (n\u2009=\u2009163); GG2 without IDC\u2010P, 46.1% (n\u2009=\u2009470); GG3 without IDC\u2010P, 15.7% (n\u2009=\u2009160); GG4 without IDC\u2010P, 2.6% (n\u2009=\u200927); GG5 without IDC\u2010P, 4.1% (n\u2009=\u200942); any GG with IDC\u2010P, 15.4% [n\u2009=\u2009157; GG 2 (n\u2009=\u200929); GG3 (n\u2009=\u200960); GG4 (n\u2009=\u200913); GG5 (n\u2009=\u200955)]. Any grade Group with IDC\u2010P showed significantly worse prognosis than any other group without IDC\u2010P (P\u2009\u003c\u20090.0001). In a multivariate analysis, integration of the IDC\u2010P into the Grade Groups, the PSA level at diagnosis, and the surgical margin status were significant prognostic predictors (P\u2009\u003c\u20090.0001,\u2009\u003c\u20090.0001 and\u2009\u003c\u20090.0001, respectively). 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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

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
42bad754-6425-485c-b106-20bcdc326560
名前 / ファイル ライセンス アクション
Final_clean_manuscript.pdf Final_clean_manuscript (464.6 kB)
Item type 学術雑誌論文 / Journal Article(1)
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
著者 Kato, Masashi

× Kato, Masashi

WEKO 93507

Kato, Masashi

Search repository
Hirakawa, Akihiro

× Hirakawa, Akihiro

WEKO 93508

Hirakawa, Akihiro

Search repository
Kobayashi, Yumiko

× Kobayashi, Yumiko

WEKO 93509

Kobayashi, Yumiko

Search repository
Yamamoto, Akiyuki

× Yamamoto, Akiyuki

WEKO 93510

Yamamoto, Akiyuki

Search repository
Ishida, Ryo

× Ishida, Ryo

WEKO 93511

Ishida, Ryo

Search repository
Sano, Tomoyasu

× Sano, Tomoyasu

WEKO 93512

Sano, Tomoyasu

Search repository
Kimura, Tohru

× Kimura, Tohru

WEKO 93513

Kimura, Tohru

Search repository
Majima, Tsuyoshi

× Majima, Tsuyoshi

WEKO 93514

Majima, Tsuyoshi

Search repository
Ishida, Shohei

× Ishida, Shohei

WEKO 93515

Ishida, Shohei

Search repository
Funahashi, Yasuhito

× Funahashi, Yasuhito

WEKO 93516

Funahashi, Yasuhito

Search repository
Sassa, Naoto

× Sassa, Naoto

WEKO 93517

Sassa, Naoto

Search repository
Fujita, Takashi

× Fujita, Takashi

WEKO 93518

Fujita, Takashi

Search repository
Matsukawa, Yoshihisa

× Matsukawa, Yoshihisa

WEKO 93519

Matsukawa, Yoshihisa

Search repository
Yamamoto, Tokunori

× Yamamoto, Tokunori

WEKO 93520

Yamamoto, Tokunori

Search repository
Hattori, Ryohei

× Hattori, Ryohei

WEKO 93521

Hattori, Ryohei

Search repository
Gotoh, Momokazu

× Gotoh, Momokazu

WEKO 93522

Gotoh, Momokazu

Search repository
Tsuzuki, Toyonori

× Tsuzuki, Toyonori

WEKO 93523

Tsuzuki, Toyonori

Search repository
権利
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.
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
内容記述タイプ Other
出版者
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
DOI
関連識別子
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 ISSN
収録物識別子 0270-4137
書誌情報 The Prostate

巻 79, 号 10, p. 1065-1070, 発行日 2019-07-01
著者版フラグ
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