Follow-Up of Stage A Carcinoma of the Prostate

Park, Jae Shin; Lee, Sung Choon

Abstract

The prognosis and proper treatment of Stage A carcinoma of the prostate remain unsettled. We report 19 patients with State A prostate cancer diagnosed between 1970 and 1988. Mean duration of follow-up was 4.3 years with a range of one to eleven years. Five patients(26.3%) suffered extensive local(4) and metastatic(1) disease progression. Extent and grade of disease were thought to depend upon the two factors that accurately predicted progression. Only one patient(7.7%) with a low grade lesion(Gleason total score 2 to 4) had progression for nine years of follow-up and only patient(10%) with less than 5 percents of cancer had progression. These patients were classified as stage A1 and we believe these ratients require no further therapy. Or the 9 patients with more than 5 percent of cancer, 4 patients(44.4%) had progression. These patients were classified as stage A2 and more aggressive management was thought to be needed.