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Clinical, Histopathological, and Prognostic Characteristics of Patients with Prostate Cancer in Lubumbashi, Democratic Republic of Congo. 刚果民主共和国卢本巴希市前列腺癌患者的临床、组织病理学和预后特征
IF 4.2
Prostate Cancer Pub Date : 2020-12-09 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5286929
Pitchou Mukaz Mbey, Olivier Mukuku, Willy Kalau Arung, Guylain Kitoko Tengu, Nasser Lubosha Amisi, Véronique Kabila Kyabu, Etienne Fwamba Koshe Odimba, François Katombe Tshilombo
{"title":"Clinical, Histopathological, and Prognostic Characteristics of Patients with Prostate Cancer in Lubumbashi, Democratic Republic of Congo.","authors":"Pitchou Mukaz Mbey, Olivier Mukuku, Willy Kalau Arung, Guylain Kitoko Tengu, Nasser Lubosha Amisi, Véronique Kabila Kyabu, Etienne Fwamba Koshe Odimba, François Katombe Tshilombo","doi":"10.1155/2020/5286929","DOIUrl":"10.1155/2020/5286929","url":null,"abstract":"<p><strong>Introduction: </strong>Prostate cancer is currently a public health problem with a frequency that varies from country to country. This study aims to describe the epidemiological, clinical, and histopathological and outcome features of prostate cancer in Lubumbashi in the Democratic Republic of Congo.</p><p><strong>Materials and methods: </strong>This was a descriptive longitudinal study of patients diagnosed with prostate cancer at the University Clinics of Lubumbashi. The study period was 3 years (2017 to 2019). Parameters studied were age and clinical, biological (PSA level, prostatic specific antigen), histopathological, and outcome features.</p><p><strong>Results: </strong>The mean age of patients was 68.7 years (range: 47 and 90 years). The 60 to 69 age group was the most affected (43.18%). Elderly subjects (≥60 years old) represented 89.77% of the cases (<i>n</i> = 79). Voiding disorders were the main reason for consultation in 55.68% of the cases. The mean PSA level was 133.7 ng/ml (range: 4 and 1564.5 ng/ml) at diagnosis and 125.4 ng/ml after 3 months of follow-up (range: 0.16 and 1782.1 ng/ml). Adenocarcinoma was the predominant histological type (100%). In prognosis, 31.82% of patients had a Gleason score greater than 7 and 59.10% had a high risk at the D'Amico risk classification for Prostate Cancer. Hormone therapy was administered alone in 75% of the cases and in combination with pulpectomy in 13.64% of the cases. The 3-year overall survival was 56.82%.</p><p><strong>Conclusion: </strong>Prostate cancer is frequent and has a poor outcome in our country. The establishment of an individual screening policy would be an undeniable advantage in improving the prognosis.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/5286929","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39110635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A Multicentric, Retrospective Efficacy and Safety Study of Nanosomal Docetaxel Lipid Suspension in Metastatic Castration-Resistant Prostate Cancer. 多西紫杉醇纳米体脂质悬浮液治疗转移性去势抵抗性前列腺癌的多中心回顾性疗效和安全性研究
IF 4.2
Prostate Cancer Pub Date : 2020-11-24 eCollection Date: 2020-01-01 DOI: 10.1155/2020/4242989
Aseem Samar, Srikant Tiwari, Sundaram Subramanian, Nisarg Joshi, Jaykumar Sejpal, Mujtaba A Khan, Imran Ahmad
{"title":"A Multicentric, Retrospective Efficacy and Safety Study of Nanosomal Docetaxel Lipid Suspension in Metastatic Castration-Resistant Prostate Cancer.","authors":"Aseem Samar,&nbsp;Srikant Tiwari,&nbsp;Sundaram Subramanian,&nbsp;Nisarg Joshi,&nbsp;Jaykumar Sejpal,&nbsp;Mujtaba A Khan,&nbsp;Imran Ahmad","doi":"10.1155/2020/4242989","DOIUrl":"https://doi.org/10.1155/2020/4242989","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy and safety of nanosomal docetaxel lipid suspension (NDLS, DoceAqualip) in patients with metastatic castration-resistant prostate cancer (mCRPC).</p><p><strong>Materials and methods: </strong>In this multicenter, retrospective study, we analyzed the medical charts of mCRPC patients, who were treated with NDLS administered as 2-weekly (50 mg/m<sup>2</sup>) or 3-weekly regimens (75 mg/m<sup>2</sup>). The study endpoints were prostate-specific antigen (PSA) response (>50% PSA decline from baseline), PSA progression (PSA increase from baseline beyond 12 weeks: ≥25% and ≥2 ng/mL), median PSA decline, and time-to-treatment failure (TTF). Overall survival (OS) and safety were also evaluated.</p><p><strong>Results: </strong>Data of 24 patients with mCRPC were analyzed in this study. NDLS was administered as a 2-weekly regimen in 37.5% (9/24; all first-line) patients and as a 3-weekly regimen in 62.5% patients (15/24; first-line: 20% (3/15), second-line: 80% (12/15)). Overall, PSA response was reported in 66.7% (16/24) patients. The PSA response was 77.8% (7/9 patients) in the 2-weekly group and 60% (9/15 patients) in the 3-weekly group. The median decline in PSA was 96.31% in the 2-weekly group and 83.29% in the 3-weekly group; the median TTF was 6.7 and 6.5 months in the 2 weekly group and 3-weekly group, respectively. The median OS was 14.6 months (follow-up: 5.5-25.8 months) in the 2-weekly group whereas it was not reached in the 3-weekly group (follow-up: 7.9-15.6 months). The most common hematological AEs were anemia, lymphopenia, thrombocytopenia, and neutropenia whereas nausea, weakness, constipation, vomiting, and diarrhea were the most common (≥10%) nonhematological AEs. Overall, NDLS treatment was well tolerated without any new safety concerns.</p><p><strong>Conclusions: </strong>Nanosomal docetaxel lipid suspension (2-weekly or 3-weekly) was effective and well tolerated in patients with metastatic castration-resistant prostate cancer.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4242989","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38767680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Somatic Mitochondrial DNA Point Mutations Used as Biomarkers to Demonstrate Genomic Heterogeneity in Primary Prostate Cancer. 体细胞线粒体DNA点突变被用作原发性前列腺癌基因组异质性的生物标志物。
IF 4.2
Prostate Cancer Pub Date : 2020-08-28 eCollection Date: 2020-01-01 DOI: 10.1155/2020/7673684
Christian Arstad, Kristin Taskén, Paulo Refinetti, Ulrika Axcrona, Karl-Erik Giercksky, Per Olaf Ekstrøm
{"title":"Somatic Mitochondrial DNA Point Mutations Used as Biomarkers to Demonstrate Genomic Heterogeneity in Primary Prostate Cancer.","authors":"Christian Arstad,&nbsp;Kristin Taskén,&nbsp;Paulo Refinetti,&nbsp;Ulrika Axcrona,&nbsp;Karl-Erik Giercksky,&nbsp;Per Olaf Ekstrøm","doi":"10.1155/2020/7673684","DOIUrl":"https://doi.org/10.1155/2020/7673684","url":null,"abstract":"<p><p>Primary prostate tumor heterogeneity is poorly understood, leaving research efforts with challenges regarding the initiation and advancement of the disease. The growth of tumor cells is accompanied by mutations in nuclear and in mitochondrial genomes. Thus, mitochondrial DNA mutations may be used as tumor cell markers. By the use of laser capture microdissection coupled with assays for mitochondrial point mutation detection, mtDNA mutations were used to trace mutated cells at a histological level. Point mutations in mtDNA were determined in 12 primary prostate cancers. The tumors represent different pathology-prognostic grade groups. Known mutational hotspots of the mtDNA were scanned for heteroplasmy. All specimens with mtDNA heteroplasmy were subsequently subsampled by laser capture microdissection. From a total number of 1728 microsamples, mitochondrial DNA target sequences were amplified and base substitutions detected by cycling temperature capillary electrophoresis. Real-time PCR was used as a quantitative assay to determine the relative mtDNA copy number of 12 tumors studied, represented by two samples from each (<i>N</i> = 24); a high degree (75%) demonstrated tumor specimen heterogeneity. A grid of 96 spots isolated by laser capture microdissection demonstrated interfocal sample heterogeneity and increased the limit of detection. The spots demonstrated a wide range of mutant fractions from 0 to 100% mutant copies. The mitochondrial DNA copy number in the samples was determined by real-time PCR. No correlation between copy number and pathology-prognostic grade groups was observed. Somatic mitochondrial DNA point mutations represent traceable biomarkers demonstrating heterogeneity in primary prostate cancer. Mutations can be detected in areas before changes in tissue histopathology are evident to the pathologist.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/7673684","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38460678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Interleukin-10 Induces Expression of Neuroendocrine Markers and PDL1 in Prostate Cancer Cells. 白细胞介素-10诱导前列腺癌细胞神经内分泌标志物和PDL1的表达
IF 4.2
Prostate Cancer Pub Date : 2020-07-31 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5305306
Abrar Samiea, Jeff S J Yoon, Christopher J Ong, Amina Zoubeidi, Thomas C Chamberlain, Alice L-F Mui
{"title":"Interleukin-10 Induces Expression of Neuroendocrine Markers and PDL1 in Prostate Cancer Cells.","authors":"Abrar Samiea,&nbsp;Jeff S J Yoon,&nbsp;Christopher J Ong,&nbsp;Amina Zoubeidi,&nbsp;Thomas C Chamberlain,&nbsp;Alice L-F Mui","doi":"10.1155/2020/5305306","DOIUrl":"https://doi.org/10.1155/2020/5305306","url":null,"abstract":"<p><p>Interleukin-10 (IL10) is best studied for its inhibitory action on immune cells and ability to suppress an antitumour immune response. But IL10 also exerts direct effects on nonimmune cells such as prostate cancer epithelial cells. Elevated serum levels of IL10 observed in prostate and other cancer patients are associated with poor prognosis. After first-line androgen-deprivation therapy, prostate cancer patients are treated with androgen receptor antagonists such as enzalutamide to inhibit androgen-dependent prostate cancer cell growth. However, development of resistance inevitably occurs and this is associated with tumour differentiation to more aggressive forms such as a neuroendocrine phenotype characterized by expression of neuron specific enolase and synaptophysin. We found that treatment of prostate cancer cell lines <i>in vitro</i> with IL10 or enzalutamide induced markers of neuroendocrine differentiation and inhibited androgen receptor reporter activity. Both also upregulated the levels of PDL1, which could promote tumour survival <i>in vivo</i> through its interaction with the immune cell inhibitory receptor PD1 to suppress antitumour immunity. These findings suggest that IL10's direct action on prostate cancer cells could contribute to prostate cancer progression independent of IL10's suppression of host immune cells.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/5305306","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38268454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Understanding and Improving 18F-Fluciclovine PET/CT Reports: A Guide for Physicians Treating Patients with Biochemical Recurrence of Prostate Cancer. 理解和改进18f -氟氯氯vine PET/CT报告:医生治疗前列腺癌生化复发患者的指南。
IF 4.2
Prostate Cancer Pub Date : 2020-04-26 eCollection Date: 2020-01-01 DOI: 10.1155/2020/1929565
Benjamin H Lowentritt, Michael S Kipper
{"title":"Understanding and Improving <sup>18</sup>F-Fluciclovine PET/CT Reports: A Guide for Physicians Treating Patients with Biochemical Recurrence of Prostate Cancer.","authors":"Benjamin H Lowentritt,&nbsp;Michael S Kipper","doi":"10.1155/2020/1929565","DOIUrl":"https://doi.org/10.1155/2020/1929565","url":null,"abstract":"<p><p>The positron emission tomography (PET) tracer <sup>18</sup>F-fluciclovine has seen increasing use to localize disease in men with biochemical recurrence of prostate cancer, i.e., elevated prostate-specific antigen (PSA) levels post-treatment. <sup>18</sup>F-Fluciclovine PET/computed tomography (CT) imaging reports now play central roles in many physician-patient discussions. However, because no standardized grading system or templates yet exist for <sup>18</sup>F-fluciclovine image assessment, reports vary in format, comprehensiveness, and terminology and may be challenging to fully understand. To better utilize these documents, referring physicians should be aware of six key features of <sup>18</sup>F-fluciclovine PET/CT. First, <sup>18</sup>F-fluciclovine is a radiolabeled synthetic amino acid targeting the amino acid transporters ASCT2 and LAT1, which are ubiquitous throughout the body, but overexpressed in prostate cancer. Second, <sup>18</sup>F-fluciclovine image interpretation is predominantly visual/qualitative: radiotracer uptake in suspicious lesions is compared with uptake in bone marrow or blood pool. Location of <sup>18</sup>F-fluciclovine-avid lesions relative to typical recurrence sites and findings elsewhere in the patient are considered when evaluating lesions' probability of malignancy, as is visibility on maximum intensity projection images when assessing bone lesions. Third, <sup>18</sup>F-fluciclovine PET/CT detection rates increase as PSA levels rise. Fourth, detection rates may differ among centers, possibly due to equipment and reader experience. Fifth, since no diagnostic test is 100% accurate, scan data should not be used in isolation. Lastly, <sup>18</sup>F-fluciclovine PET/CT findings frequently induce changes in disease management plans. In the prospective multicenter LOCATE and FALCON studies, scans altered management plans in 59% (126/213) and 64% (66/104) of patients, respectively; 78% (98/126) and 65% (43/66) of changes, respectively, involved modality switches. Referring physicians and imagers should collaborate to improve scan reports. Referrers should clearly convey critical information, including prescan PSA levels, and open clinical questions. Imagers should produce reports that read like consultations, avoid leaving open questions, and if needed, provide thoughts on next diagnostic steps.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/1929565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37923435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Cancer Detection Rates of Systematic and Targeted Prostate Biopsies after Biparametric MRI. 双参数MRI后系统和靶向前列腺活检的癌症检出率。
IF 4.2
Prostate Cancer Pub Date : 2020-04-03 eCollection Date: 2020-01-01 DOI: 10.1155/2020/4626781
Maudy C W Gayet, Anouk A M A van der Aa, Harrie P Beerlage, Bart Ph Schrier, Maaike Gielens, Roel Heesakkers, Gerrit J Jager, Peter F A Mulders, Hessel Wijkstra
{"title":"Cancer Detection Rates of Systematic and Targeted Prostate Biopsies after Biparametric MRI.","authors":"Maudy C W Gayet,&nbsp;Anouk A M A van der Aa,&nbsp;Harrie P Beerlage,&nbsp;Bart Ph Schrier,&nbsp;Maaike Gielens,&nbsp;Roel Heesakkers,&nbsp;Gerrit J Jager,&nbsp;Peter F A Mulders,&nbsp;Hessel Wijkstra","doi":"10.1155/2020/4626781","DOIUrl":"https://doi.org/10.1155/2020/4626781","url":null,"abstract":"<p><strong>Objective: </strong>To compare prostate cancer detection rates (CDRs) and pathology results with targeted prostate biopsy (TB) and systematic prostate biopsy (SB) in biopsy-naive men.</p><p><strong>Methods: </strong>An in-patient control study of 82 men undergoing SB and subsequent TB in case of positive prostate MRI between 2015 and 2017 in the Jeroen Bosch Hospital, the Netherlands.</p><p><strong>Results: </strong>Prostate cancer (PCa) was detected in 54.9% with 70.7% agreement between TB and SB. Significant PCa (Gleason score ≥7) was detected in 24.4%. The CDR with TB and SB was 35.4% and 48.8%, respectively (<i>p</i>=0.052). The CDR of significant prostate cancer with TB and SB was both 20.7%. Clinically significant pathology upgrading occurred in 7.3% by adding TB to SB and 22.0% by adding SB to TB.</p><p><strong>Conclusions: </strong>There is no statistically significant difference between CDRs of SB and TB. Both SB and TB miss significant PCas. Moreover, pathology upgrading occurred more often by adding SB to TB than vice versa. This indicates that the omission of SB in this study population might not be justified.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4626781","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37849630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
The Prospect of Identifying Resistance Mechanisms for Castrate-Resistant Prostate Cancer Using Circulating Tumor Cells: Is Epithelial-to-Mesenchymal Transition a Key Player? 利用循环肿瘤细胞鉴定去势抵抗性前列腺癌耐药机制的前景:上皮细胞到间质细胞的转化是关键因素吗?
IF 4.2
Prostate Cancer Pub Date : 2020-03-30 eCollection Date: 2020-01-01 DOI: 10.1155/2020/7938280
Tanzila Khan, Kieran F Scott, Therese M Becker, John Lock, Mohammed Nimir, Yafeng Ma, Paul de Souza
{"title":"The Prospect of Identifying Resistance Mechanisms for Castrate-Resistant Prostate Cancer Using Circulating Tumor Cells: Is Epithelial-to-Mesenchymal Transition a Key Player?","authors":"Tanzila Khan,&nbsp;Kieran F Scott,&nbsp;Therese M Becker,&nbsp;John Lock,&nbsp;Mohammed Nimir,&nbsp;Yafeng Ma,&nbsp;Paul de Souza","doi":"10.1155/2020/7938280","DOIUrl":"https://doi.org/10.1155/2020/7938280","url":null,"abstract":"<p><p>Prostate cancer (PCa) is initially driven by excessive androgen receptor (AR) signaling with androgen deprivation therapy (ADT) being a major therapeutic approach to its treatment. However, the development of drug resistance is a significant limitation on the effectiveness of both first-line and more recently developed second-line ADTs. There is a need then to study AR signaling within the context of other oncogenic signaling pathways that likely mediate this resistance. This review focuses on interactions between AR signaling, the well-known phosphatidylinositol-3-kinase/AKT pathway, and an emerging mediator of these pathways, the Hippo/YAP1 axis in metastatic castrate-resistant PCa, and their involvement in the regulation of epithelial-mesenchymal transition (EMT), a feature of disease progression and ADT resistance. Analysis of these pathways in circulating tumor cells (CTCs) may provide an opportunity to evaluate their utility as biomarkers and address their importance in the development of resistance to current ADT with potential to guide future therapies.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/7938280","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37837529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Long-Term Follow-Up after Prostatectomy for Prostate Cancer and the Need for Active Monitoring. 前列腺癌切除术后长期随访及主动监测的必要性。
IF 4.2
Prostate Cancer Pub Date : 2020-03-10 eCollection Date: 2020-01-01 DOI: 10.1155/2020/7196189
Gregory P Swanson, Wencong Chen, Sean Trevathan, Michael Hermans
{"title":"Long-Term Follow-Up after Prostatectomy for Prostate Cancer and the Need for Active Monitoring.","authors":"Gregory P Swanson,&nbsp;Wencong Chen,&nbsp;Sean Trevathan,&nbsp;Michael Hermans","doi":"10.1155/2020/7196189","DOIUrl":"https://doi.org/10.1155/2020/7196189","url":null,"abstract":"<p><strong>Background: </strong>Only truly long-term follow-up can determine the ultimate outcome in prostate cancer. Most studies have a median follow-up of less than 10 years and then project outcomes out to 15 and 20 years. We sought to follow patients for at least 20 years. <i>Materials and Methods</i>. We followed 754 prostate cancer patients treated with radical prostatectomy from 1988 to 1995 for a median follow-up (in survivors) of 23.9 years. We excluded lymph node and seminal vesicle positive patients and an additional 47 patients that did not have baseline prostate-specific antigen (PSA). This left 581 patients for analysis.</p><p><strong>Results: </strong>With the factors of PSA, Gleason score, and extraprostatic extension/margin positivity, we could partition patients into three risk groups for biochemical failure (low, intermediate, and high). In further analysis, we found that the risk of metastatic disease in the first two groups was almost identical (4% and 5%, respectively), while it was 19% in the high-risk group. High-risk patients were those with PSA >20 ng/ml and/or Gleason >7, or Gleason 7 + PSA 10-20 + epe (and or margin) positive. They had a 22% prostate cancer mortality.</p><p><strong>Conclusion: </strong>In patients with truly long-term follow-up after prostatectomy for prostate cancer, the risk of metastatic disease and cancer death is very low. Patients with the lower risk findings do not appear to benefit from routine follow-up after 10 years free of biochemical recurrence. With a higher risk of later failure, we recommend that the higher risk patients be followed at least intermittently for another 5 years (out to 15 years).</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/7196189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37787778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Synthetic Apparent Diffusion Coefficient for High b-Value Diffusion-Weighted MRI in Prostate. 前列腺高b值弥散加权MRI的合成表观扩散系数。
IF 4.2
Prostate Cancer Pub Date : 2020-02-10 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5091218
Prativa Sahoo, Russell C Rockne, Alexander Jung, Pradeep K Gupta, Ram K S Rathore, Rakesh K Gupta
{"title":"Synthetic Apparent Diffusion Coefficient for High <i>b</i>-Value Diffusion-Weighted MRI in Prostate.","authors":"Prativa Sahoo,&nbsp;Russell C Rockne,&nbsp;Alexander Jung,&nbsp;Pradeep K Gupta,&nbsp;Ram K S Rathore,&nbsp;Rakesh K Gupta","doi":"10.1155/2020/5091218","DOIUrl":"https://doi.org/10.1155/2020/5091218","url":null,"abstract":"<p><strong>Purpose: </strong>It has been reported that diffusion-weighted imaging (DWI) with ultrahigh <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher <i>Materials and Methods</i>. Fifteen patients (7 malignant and 8 benign) were included in this study retrospectively with the institutional ethical committee approval. All images were acquired at a 3T MR scanner. The ADC values were calculated using a monoexponential model. Synthetic ADC (sADC) for higher <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher.</p><p><strong>Results: </strong>No significant difference was observed between actual ADC and sADC for <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher <i>p</i>=0.002, paired <i>t</i>-test) in sDWI as compared to DWI. Malignant lesions showed significantly lower sADC as compared to benign lesions (<i>p</i>=0.002, paired <i>t</i>-test) in sDWI as compared to DWI. Malignant lesions showed significantly lower sADC as compared to benign lesions (<i>Discussion</i>/.</p><p><strong>Conclusion: </strong>Our initial investigation suggests that the ADC values corresponding to higher <i>b</i>-value can be computed using log-linear relationship derived from lower <i>b</i>-values (<i>b</i> ≤ 1000). Our method might help clinicians to decide the optimal <i>b</i>-value for prostate lesion identification.<i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher <i>b</i>-value increases the diagnostic power of prostate cancer. DWI with higher.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/5091218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37674381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Association of Angiotensin I Converting Enzyme Insertion/287 bp Deletion Polymorphisms and Proliferative Prostatic Diseases among Lebanese Men. 黎巴嫩男性血管紧张素 I 转换酶插入/287 bp 缺失多态性与前列腺增生性疾病的关系
IF 2.3
Prostate Cancer Pub Date : 2020-02-07 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5959134
Asmahan A El Ezzi, Jordan M Clawson, Mohammed A El-Saidi, Wissam R Zaidan, Abigail Kovash, Jeremy Orellana, AnnaKarina Thornock, Ruhul H Kuddus
{"title":"Association of Angiotensin I Converting Enzyme Insertion/287 bp Deletion Polymorphisms and Proliferative Prostatic Diseases among Lebanese Men.","authors":"Asmahan A El Ezzi, Jordan M Clawson, Mohammed A El-Saidi, Wissam R Zaidan, Abigail Kovash, Jeremy Orellana, AnnaKarina Thornock, Ruhul H Kuddus","doi":"10.1155/2020/5959134","DOIUrl":"10.1155/2020/5959134","url":null,"abstract":"<p><strong>Background: </strong>Angiotensin I converting enzyme (ACE) insertion (I) and 287 bp Alu repeat DNA fragment deletion (D) polymorphisms have been indicated in various cancers. Here, we investigated I/D polymorphisms in prostate cancer (PCa) and benign prostate hyperplasia (BPH) among Lebanese men.</p><p><strong>Methods: </strong>Blood DNA extracted from 69 control subjects, 69 subjects with clinically confirmed PCa, and 69 subjects with clinical BPH, all the subjects were aged 50 years or older, was subjected to the polymerase chain reaction. The PCR products were resolved in polyacrylamide gels to determine II, ID, and DD genotypes. The odds ratios (OR), 95% confidence intervals (CI), and <i>p</i> values of the allele frequencies and genotype ratios were calculated for establishing possible association of the alleles and/or genotypes and PCa and/or BPH.</p><p><strong>Results: </strong>The proportions of II, ID, and DD genotypes were significantly different from Hardy-Weinberg equilibrium for BPH and PCa groups (but not the control group), mostly due to overabundance of the ID genotypes. There was no significant difference in the I and D allele frequencies between the control groups and the affected groups. The ratio of (DD + ID)/II is significantly lower among the control group compared to the BPH group (RR = 8.92, <i>p</i> values of the allele frequencies and genotype ratios were calculated for establishing possible association of the alleles and/or genotypes and PCa and/or BPH. <i>p</i> values of the allele frequencies and genotype ratios were calculated for establishing possible association of the alleles and/or genotypes and PCa and/or BPH.</p><p><strong>Conclusions: </strong>Our data indicate that the D allele of the I/D polymorphisms of the ACE gene is associated with increased risk of BPH, and the ID genotype is a risk factor for both BPH and PCa among Lebanese males.</p>","PeriodicalId":20907,"journal":{"name":"Prostate Cancer","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37670311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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