A clinical observation on thirty two cases of prostatic carcinoma

Rim, Hee Kwan; Kim, Ho Sung

Abstract

Between January 1985 and December 1991, 32 cases with prostatic carcinoma were admitted to the Department of Urology, Wonkwang University Hospital. The incidence of prostatic carcinoma was 1.0% or all inpatients, 1.4% of male inpatients and 19.5% of all male genitourinary tract tumors. The patient age ranged from 51 to 84 years with a mean of 68.3 years. The most common presenting symptom was prostatism in 28 cases (87.5 %). On digital rectal examination. 14 cases (43.8 %) had a localized hard prostate and 8 cases(25%) had a diffuse hard prostate. Excretory urography revealed elevation of bladder base in 23 cases (88.5 %). Biopsy or cytology of the prostate was performed in 32 cases by transrectal needle biopsy, fine needle aspiration cytology and TUR biopsy. Of the 32 case, 20 cases (62.5 %) were stage D2, 4 cases (12.5 %) stage C, 2 cases(6.3 %) stage B1, 4 cases (12.5 %) stage A1 and 2 cases refused further examination with treatment. Endocrine therapy was performed in 22 cases and radical prostatectomy with pelvic lymphadenectomy was performed in 2 cases. Of all 32 cases were followed for 9 months to 89 months. Of the 4 cases with clinical stage A1, 2 cases died at 10, 24 months after initial treatment, respectively. Six cases with clinical stage B1 and C were proved to be alive. Of the 20 cases with clinical stage D2, 10 cases died and their mean survival period was 21.7 months.