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Follow-up After Transurethral Resection for Stage A Prostatic Cancer

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Incidental Carcinoma of the Prostate

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Abstract

The stage A2 carcinoma of the prostate is most commonly discovered incidentally on histological analysis of prostatic tissue removed during transurethral resection (TURP) performed for infravesical obstruction. On this occasion the far-reaching decision must be made whether a symptom-free patient with a tumor of perhaps only minor malignant potency should be subjected to curative, but invasive therapy, or whether to dispense with treatment completely and confine the activities to regular follow-up examinations. No compromise is possible between these two modalities. The final decision must be based on the following considerations. It must be possible to assess the statistical risk of dying from the cancer with a high degree of probability for the overall patient population as well as for the individual patient. The risk of dying from the tumor must be weighed against the risk of therapy including mortality but also the considerable morbidity involved in treatment. Another prerequisite for being able to take the responsibility for a wait-and-see strategy is the availability of diagnostic means for the detection of progression in a curable stage. This very essential problem is discussed here.

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Author information

Authors and Affiliations

  1. Universitätsklinik für Urologie, Anichstraße 35, A-6020, Innsbruck, Austria

    G. Bartsch

Authors
  1. G. Janetschek
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  2. G. Bartsch
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Editors and Affiliations

  1. Urologische Abteilung, Krankenhaus der Barmherzigen Brüder, Romanstraße 95, W-8000, München 19, Germany

    Jens E. Altwein  & Wolfgang Schneider  & 

  2. Urologische Abteilung, Stadtkrankenhaus Memmingen, W-8940, Memmingen, Germany

    Peter Faul

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© 1991 Springer-Verlag Berlin Heidelberg

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Janetschek, G., Bartsch, G. (1991). Follow-up After Transurethral Resection for Stage A Prostatic Cancer. In: Altwein, J.E., Faul, P., Schneider, W. (eds) Incidental Carcinoma of the Prostate. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76129-4_39

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  • DOI: https://doi.org/10.1007/978-3-642-76129-4_39

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-76131-7

  • Online ISBN: 978-3-642-76129-4

  • eBook Packages: Springer Book Archive

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