Early (stage A) prostatic cancer

Abstract

The 4 year follow-up of an original series of 100 patients treated by subtotal prostatectomy and analysed on histopathological grounds is presented. 87 out of 100 were traced and were in the following groups: 37/45 A₁, 27/29 A₂, 10/12 A₃, 13/14 benign prostatic hyperplasia. No therapy was performed. All three patients who died of prostatic carcinoma fitted into substage A₃, all three patients living with metastases fitted into A₁. The progression observed is significant when related to the brief interval of time, the size of the prostatic microcarcinoma and the histological grade (well differentiated tubular carcinomas in 5 out 6 cases). Prostatectomy with capsulectomy is strongly recommended in order to prevent progression.