The Diagnosis And Therapy Of Small Volume Prostate Cancer(Clinical Research Of Fifteen Cases)

Objective: Studying and discussing the diagnosis, therapy and prognosis of small volume prostate cancer in order to improve the clinical diagnostic and therapeutic level of the disease.Methods: Collecting clinical material of 15 patients in our hospital from 2002 Jun to 2005 Dec who had been undergone Suprapubic prostatectomy or transurethral prostatic resection and the pathological diagnosis post-operation were small volume prostate cancer.Analying statistically and following up these cases.Results: After the pathological diagnosis,all 15 patients did not undergo radical prostatectomy.6 patients underwent orchiectomy. 2 patients underwent pharmic emasculation.Other 7 patients took no treatment. 13 patients got long-term follow-up from six months to four years.The average was 18 months. During the term of follow-up, 9 patients got a life of high quality without recrudescence. 1 patient died of obstructive emphysema one year after the operation. 1 patient died of cerebrovascularaccident two years after the operation.2 patients' serum PSA increased and got hormonal therapy.Now their serum PSA is keeping in the low level. Conclusion: The diagnosis of small volume prostate cancer is mainly base on the pathological examine for the prostatectomy specimens.The patients of small volume prostate cancer don't need radical prostatectomy.They also don't need orchiectomy.But they must be Watchful Waiting.If the serum PSA is above 0.2ng/ml or increase continuously by degrees there times,they must got hormonal therapy.