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Early (Stage A) prostatic cancer

IV. Methodological criteria for histopathological diagnosis

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Summary

This study was performed in order to elucidate some of the problems of incidence, morphology and natural history concerned with Stage A prostatic cancer or prostatic microcarcinoma (PMC).

The prostates of 100 patients, treated by subtotal prostatectomy for benign prostatic hyperplasia (BPH), were studied by comparing both routine and step-section techniques. The incidence of PMC was 41% by the former and 86% by the latter technique. Assessment of the size of PMC, as measured by the sum of the two main diameters, resulted in three groups: A1, A2, A3. The last of these may represent a frankly malignant condition, judged by size and the histological appearance. Radical prostatectomy is strongly suggested as appropriate therapy for this group.

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References

  • Akazaki, K., Stemmermann, G.N.: Comparative study of latent carcinoma of the prostate among Japanese in Japan and Hawaii. J. Nat. Cancer Inst. 50, 1137–1144 (1973)

    Google Scholar 

  • Albarran, J., Hallé, N. (1900): quoted by Emmett et al.

  • Allemann, R.: Prostatahypertrophie und Prostatakrebs: Ein Beitrag zur Frage der okkulten Karzinome. Schweiz. Med. Wochenschr. 82, 147–154 (1952)

    Google Scholar 

  • Andersen, R.: Carcinoma of the prostate: clinical observations and treatment. Acta Chir. Scand. Suppl. 246, 1–74 (1959)

    Google Scholar 

  • Andrews, G.S.: Latent carcinoma of the prostate. J. Clin. Path. 2, 197–208 (1949)

    Google Scholar 

  • Armenian, N.K., Lilienfeld, A.M., Diamond, E.L.: Relation between benign prostatic hyperplasia and cancer of the prostate. Lancet II, 115–117 (1974)

    Google Scholar 

  • Bagshaw, M.A., Pistenma, D.A., Ray, G.R., Freiha, F.S., Kempson, RL.: Evaluation of extendedfield radiotherapy for prostatic neoplasm: 1976 progress report. Cancer Treat. Rep. 61, 297–306 (1977)

    Google Scholar 

  • Bakalim, G.: Cancerecidiv efter prostatektomi. Nord. Med. 47, 209–121 (1952)

    Google Scholar 

  • Barnes, R.W.: Non operative treatment of operative carcinoma of the prostate. In: Fifth National Cancer Conference Proceedings, pp. 323–326. Philadelphia: Lippincott 1964

    Google Scholar 

  • Barnes, R., Hirst, A., Rosenquist, R.: Early carcinoma of the prostate; comparison of stages A and B. J. Urol. 115, 404–405 (1976)

    Google Scholar 

  • Barnes, R.W., Ninan, C.A.: Carcinoma of the prostate. Biopsy and conservative therapy. J. Urol. 108, 897–900 (1972)

    Google Scholar 

  • Baron, E., Angrist, A.: Incidence of occult adenocarcinoma of the prostate: after 50 years of age. Arch. Path. 32, 787–793 (1941)

    Google Scholar 

  • Battaglia, S., Barbolini, G., Botticelli, A.R.: Early prostatic cancer. I. Qualitative pattern recognition of prostatic cambial-zone. Morgagni 7, 77–81 (1974)

    Google Scholar 

  • Battaglia, S., Barbolini, G., Botticelli, A.R.: Klassifizierung und Differentialdiagnose des Prostatacarcinoms. In: Verhandlungen der Deutschen Krebsgesellschaft, Band 1 (13. Dtsch. Krebskongreß, Hamburg 1976), pp. 233–240. Stuttgart: Gustav Fischer 1978

    Google Scholar 

  • Bauer, W.C., McGauran, M.H., Carlin, R.: Unsuspected carcinoma of the prostate in soprapubic prostatectomy specimens. A Clinicopathological study of 55 consecutive cases. Cancer 13, 370–378 (1960)

    Google Scholar 

  • Belt, E., Schroeder, F.H.: Total perineal prostatectomy for carcinoma of the prostate. J. Urol. 107, 91–96 (1972)

    Google Scholar 

  • Berg, J.W., Hajdu, S.T., Foote, F.W.: The prevalence of latent carcinoma in cancer patients. Arch. Path. 91, 183–186 (1971)

    Google Scholar 

  • Bergman, R.T., Turner, R., Barnes, R.W., Hadley, H.L.: Comparative analysis of one thousand consecutive cases of transurethral prostatic resection. J. Urol. 74, 533–545 (1955)

    Google Scholar 

  • Bibus, B. (1937): quoted by Emmett et al.

    Google Scholar 

  • Blackard, C.E., Mellinger, G.T., Gleason, D.F.: Treatment of stage I carcinoma of the prostate: a preliminary report. J. Urol. 106, 729–733 (1971)

    Google Scholar 

  • Blennerhassett, J.B., Vickery, A.L. jr.: Carcinoma of the prostate gland. Cancer 19, 980–984 (1966)

    Google Scholar 

  • Bruce, A.W., O'Cleireachain, F., Morales, A., Awad, S.A.: Carcinoma of the prostate: a critical look at staging. J. Urol. 117, 319–322 (1977)

    Google Scholar 

  • Butler, J., Braunstein, H., Freiman, V.D., Gall, E.A.: Incidence, distribution, and enzymatic activity of carcinoma of the prostate. Arch. Path. 68, 243–251 (1959)

    Google Scholar 

  • Byar, D.P., Mostofi, F.K.: Carcinoma of the prostate; prognostic evaluation of certain pathologic features in 208 radical prostatectomies. Examined by the step-section technique. Cancer 30, 5–13 (1972)

    Google Scholar 

  • Byar, D.P., Vacurg: Survival of patients with incidentally found microscopic cancer of the prostate. Results of a clinical trial of conservative treatment. J. Urol. 108, 908–913 (1972)

    Google Scholar 

  • Byar, D.P., Vacurg: Vacurg studies on prostate cancer and its treatment. In: Urologic Pathology: The Prostate. pp. 241–268. Philadelphia: Lea-Febiger 1977

    Google Scholar 

  • Caine, M.: Late results and sequelae of prostatectomy. Brit. J. Urol. 26, 205–226 (1954)

    Google Scholar 

  • Carlton, C.E., Dawoud, F., Hudgins, P., Scott, R.: Irradiation-treatment of carcinoma of the prostate: a preliminary report based on 8 year experience. J. Urol. 108, 924–927 (1972)

    Google Scholar 

  • Colston, J.A.: Early carcinoma of the prostate. Med. Clin. North Am. 43, 1741–1747 (1959)

    Google Scholar 

  • Cook, G.B., Watson, F.R.: Twenty single nodules of prostate cancer not treated by total prostatectomy. J. Urol. 100, 672–674 (1968)

    Google Scholar 

  • Correa, R.J., Anderson, R.G., Gibbons, R.P., Mason, J.T.: Latent carcinoma of the prostate — why the controversy? J. Urol. 111, 644–646 (1974)

    Google Scholar 

  • Corriere, J.N., Cornog, J.L., Murphy, J.J.: Prognosis in patients with carcinoma of the prostate. Cancer 25, 911–918 (1970)

    Google Scholar 

  • Culp, O.S.: Radical perineal prostatectomy: its past, present and possible future. J. Urol. 98, 618–626 (1967)

    Google Scholar 

  • Culp, O.S., Meyer, J.J.: Radical prostatectomy in the treatment of prostatic cancer. Cancer 32, 1113–1118 (1973)

    Google Scholar 

  • Denton, S.E., Choy, S.H., Valk, W.L.: Occult prostatic carcinoma diagnosed by the step-section technique of the surgical specimen. J. Urol. 93, 296–298 (1965)

    Google Scholar 

  • Denton, S.E., Valk, W.L., Jacobson, J.M., Kettunen, R.C.: Comparison of the perineal needle biopsy and the transurethral prostatectomy in the diagnosis of prostatic carcinoma: an analysis of 300 cases. J. Urol. 97, 127–129 (1967)

    Google Scholar 

  • De Vere White, R., Paulson, D.F., Glenn, J.F.: The clinical spectrum of prostate cancer. J. Urol. 117, 323–327 (1977)

    Google Scholar 

  • Dhom, G.: Histologische Diagnostik und Differentialdiagnostik des Prostatacarcinoms. In: Verhandlungsbericht Dtschn. Gesellschaft Urologie, Bd. 24, pp. 251–256. Berlin-Heidelberg-New York: Springer 1973

    Google Scholar 

  • Dhom, G.: Differentialdiagnostische Probleme des Prostatacarcinoms (Erfahrungen mit dem Prostatacarcinom-Register). Beitr. Path. 153, 203–220 (1974)

    Google Scholar 

  • Dhom, G.: Classification and grading of prostatic carcinoma. In: Tumors of the male genital system, pp. 14–26. Berlin-Heidelberg-New York: Springer 1977

    Google Scholar 

  • Dhom, G.: Aktuelle Probleme der Epidemiologie und Pathologie des Prostatacarcinoms. In: Verhandlungen der Deutschen Krebsgesellschaft, Band 1 (13. Dtsch. Krebskongreß, Hamburg 1976), pp. 193–204. Stuttgart: Gustav Fischer 1978

    Google Scholar 

  • Dhom, G., Hautumm, B.: Die Morphologie des Klinischen Stadiums 0 des Prostatacarcinoms (incidental carcinoma). Urologe A 14, 105–111 (1975)

    Google Scholar 

  • Donntenwill, W., Wulf, H.: Über die Beziehungen zwischen Prostatahypertrophie und Prostatacarcinom. Arch. Geschwulstforsch. 12, 14–18 (1958)

    Google Scholar 

  • Dossot, R.: Cancer of the prostate, its origin and extension. J. Urol. 23, 217–245 (1930)

    Google Scholar 

  • Eberhart, C., Morgan, J.: Early prostatic carcinoma. J.M.A. Georgia 48, 123–124 (1959)

    Google Scholar 

  • Edwards, C.: Observations on occult carcinoma of the prostate gland. Med. J. Aust. 1, 223–224 (1955)

    Google Scholar 

  • Edwards, C.N., Steinthorsson, E., Nicholson, D.: An autopsy study of latent prostatic cancer. Cancer 6, 531–554 (1953)

    Google Scholar 

  • Ekman, H.: Late results of prostatectomy for benign prostatic hyperplasia. A clinical study based on 370 cases. Acta Chir. Scand. Suppl. 250, 1–141 (1959)

    Google Scholar 

  • Emmett, J.L., Barber, K.W., Jackman, R.J.: Transrectal biopsy to detect prostatic carcinoma: a review and report of 203 cases. J. Urol. 87, 460–474 (1962)

    Google Scholar 

  • Ferguson, R.S.: Recent advances in the diagnosis of carcinoma of the prostate. Can. Med. Assoc. J. 29, 497–501 (1933)

    Google Scholar 

  • Finkle, A.L.: Genito-urinary tract infection, prostatic calculi and carcinoma of the prostate. J. Urol. 71, 67–81 (1954)

    Google Scholar 

  • Flocks, R.H.: Combination therapy for localized prostatic cancer. J. Urol. 89, 889–894 (1963)

    Google Scholar 

  • Flocks, R.H.: Carcinoma of the prostate. J. Urol. 101, 741–749 (1969)

    Google Scholar 

  • Flocks, R.H.: The treatment of stage C prostatic cancer with special reference to combined surgical and radiation therapy. J. Urol. 109, 461–463 (1973)

    Google Scholar 

  • Franks, L.M.: Latent carcinoma of the prostate. J. Path. Bact. 68, 603–616 (1954)

    Google Scholar 

  • Gaynor, E.P.: Zur Frage des Prostatakrebses. Virchows Arch. Path. Anat. 301, 602–652 (1938)

    Google Scholar 

  • Gleason, D.F., Mellinger, G.T., Vacurg: Prediction of prognosis for prostatic adenocarcinoma by combined histological grading and clinical staging. J. Urol. 111, 58–64 (1974)

    Google Scholar 

  • Gleason, D.F., Vacurg: Histologic grading and clinical staging of prostatic carcinoma. In: Urologic Pathology: The Prostate, pp. 171–198. Philadelphia: Lea-Febiger 1977

    Google Scholar 

  • Golimbu, M., Schinella, R., Morales, P., Kurusu, S.: Differences in pathological characteristics and prognosis of clinical A2 prostatic cancer from A1 and B disease. J. Urol. 119, 618–622 (1978)

    Google Scholar 

  • Goodwin, W.E.: Radical prostatectomy after previous prostatic surgery. Technical problems encountered in treatment of occult prostatic carcinoma. JAMA 148, 799–803 (1952)

    Google Scholar 

  • Grabstald, H.: The incidence, clinical and pathological classification of cancer of the prostate. Cancer J. Clinic. (N.Y.) 15, 31–35 (1965)

    Google Scholar 

  • Greene, L.F., Simon, H.B.: Occult carcinoma of the prostate. Clinical and therapeutic study of eighty-three cases. JAMA 158, 1494–1498 (1955)

    Google Scholar 

  • Greenwald, P., Kirmss, V., Polan, A.K., Dick, V.S.: Cancer of the prostate among men with benign prostatic hyperplasia. J. Nat. Cancer Inst. 53, 335–340 (1974)

    Google Scholar 

  • Halpert, B., Sheehan, E.E., Schmalhorst, W.R., Scott, R.: Carcinoma of the prostate. A survey of 5,000 autopsies. Cancer 16, 737–742 (1963)

    Google Scholar 

  • Harbitz, T.B., Haugen, O.A.: Histology of the prostate in elderly men. A study in an autopsy series. Acta Path. Scand. A 80, 756–768 (1972)

    Google Scholar 

  • Higbee, D.R.: Perineal surgery in carcinoma of prostate. J. Urol. 69, 144–151 (1953)

    Google Scholar 

  • Hinman, F., Hinman, F. jr.: Occult prostatic carcinoma diagnosed upon transurethral resection. J. Urol. 62, 723–729 (1949)

    Google Scholar 

  • Hirst, A.E., Bergman, R.T.: Carcinoma of the prostate in men 80 or more years old. Cancer 7, 136–141 (1954)

    Google Scholar 

  • Holtgrewe, H.L., Valk, W.L.: Late results of the transurethral prostatectomy. J. Urol. 92, 51–55 (1964)

    Google Scholar 

  • Hudson, P.B., Finkle, A.L., Hopkins, J.A., Sproul, E.E., Stout, A.P.: Prostatic cancer. XI. Early prostatic cancer diagnosed by arbitrary open perineal biopsy among 300 unselected patients. Cancer 7, 690–703 (1954)

    Google Scholar 

  • Hudson, H.C., Howland, R.L.: Radical retropubic prostatectomy for cancer of the prostate. J. Urol. 108, 944–947 (1972)

    Google Scholar 

  • Jewett, H.J.: The case for radical perineal prostatectomy. J. Urol. 103, 195–199 (1970)

    Google Scholar 

  • Jewett, H.J.: The present status of radical prostatectomy for stages A and B prostatic cancer. Urol. Clin. North Am. 2, 105–131 (1975)

    Google Scholar 

  • Jewett, H.J., Bridge, R.W., Gray, C.F., Shelley, W.M.: The palpable nodule of prostatic cancer: results 15 years after radical excision. JAMA 203, 403–406 (1968)

    Google Scholar 

  • Johnson, J.R.: Histological diagnosis and prognosis in patients operated upon for prostatic obstruction. Acta Chir. Scand. Suppl. 286, 1–25 (1962)

    Google Scholar 

  • Jordan, W.P., Kraeger, J.A.: Incidentally discovered microscopic carcinoma of the prostate. J. Urol. 97, 751–754 (1967)

    Google Scholar 

  • Joslin, A.H., Lich, R., Barnes, M.L. (1961): quoted by Grabstald

  • Kahler, J.E.: Carcinoma of the prostate gland: a pathologic study. J. Urol. 41, 557–574 (1939)

    Google Scholar 

  • Kastendieck, M.: Ultrastructural pathology of the human prostatic gland. Cyto- and histomorphogenesis of atrophy, hyperplasia, metaplasia, dysplasia and carcinoma. Stuttgart: Gustav Fischer 1977

    Google Scholar 

  • Kastendieck, H., Altenähr, E., Hüsselmann, H., Bressel, M.: Carcinoma and dysplastic lesions of the prostate. A histomorphological analysis of 50 total prostatectomies by step-section technique. Z. Krebsforsch. 88, 33–54 (1976)

    Google Scholar 

  • Kimbrough, J.C.: Carcinoma of the prostate: firve-year followup of patients treated by radical surgery. J. Urol. 76, 287–291 (1956)

    Google Scholar 

  • Kimbrough, J.C., Rowe, R.B.: Carcinoma of the prostate. J. Urol. 66, 373–378 (1951)

    Google Scholar 

  • Kopecky, A.A., Laskowski, T.Z., Scott, R.: Radical retropubic prostatectomy in treatment of prostatic carcinoma. J. Urol. 103, 641–644 (1970)

    Google Scholar 

  • Labess, M.: Occult carcinoma in clinically benign hypertrophy of the prostate. J. Urol. 68, 893–896 (1952)

    Google Scholar 

  • Leffer, L.G., Rosier, R.P.: Increased prevalence of prostatic carcinoma due to more thorough microscopical examination. N. Engl. J. Med. 296, 109 (1977)

    Google Scholar 

  • Lehman, T.H., Kirchheim, D., Braun, E., Moore, R.: An evaluation of radical prostatectomy for incidentally diagnosed carcinoma of the prostate. J. Urol. 99, 646–650 (1968)

    Google Scholar 

  • Liavåg, I.: The localization of prostatic carcinoma. Scand. J. Urol. Nephrol. 2, 65–71 (1968)

    Google Scholar 

  • Liavåg, I., Harbitz, T.B., Haugen, O.A.: Latent carcinoma of the prostate. Rec. Res. Cancer Res. 39, 131–137 (1972)

    Google Scholar 

  • Lilien, O.M., Schaefer, J.A., Kilejyan, V., Andaloro, V.: The case for perineal prostatectomy. J. Urol. 99, 79–86 (1968)

    Google Scholar 

  • Linoli, O.: Valore del numero dei frammenti di tessuto esaminati ai fini della diagnosi istologica dei tumori. Pathologica 69, 491–498 (1977)

    Google Scholar 

  • Mathé, C.P., Ardila, C.E.: Carcinoma of the prostate. Review of 130 cases treated between 1940 and 1946. Surg. Gynec. Obst. 84, 276–282 (1947)

    Google Scholar 

  • McCrea, L.E., Karafin, L.: Carcinoma of the prostate after suprapubic prostatectomy. J. Urol. 74, 552–555 (1955)

    Google Scholar 

  • McDonald, D.F., Coburn, W.P.: Incidence of carcinoma and secondary operations following subtotal prostatectomy in 617 patients. J. Am. Geriat. Soc. 2, 524–528 (1954)

    Google Scholar 

  • McLaughlin, A.P., Saltzstein, S.L., McCullough, D.L., Gittes, R.F.: Prostatic carcinoma: incidence and location of unsuspected lymphatic metastases. J. Urol. 115, 89–94 (1976)

    Google Scholar 

  • Melchior, J., Valk, W.L., Foret, J.D., Mebust, W.K.: Transurethral resection of the prostate via perineal urethrostomy: complete analysis of 7 years of experience. J. Urol. 111, 640–643 (1974)

    Google Scholar 

  • Mellinger, G.T., Gleason, D., Bailar, J.: The histology and prognosis of prostatic cancer. J. Urol. 97, 331–337 (1967)

    Google Scholar 

  • Meyenburg von, H., Cathomas, B.: Über die Häufigkeit des Prostata-Karzinoms in Zürich. Schweiz. Med. Wochenschr. 78, 473–475 (1948)

    Google Scholar 

  • Miller, A., Seljelid, R.: Cellular atypia in the prostate. Scand. J. Urol. Nephrol. 5, 17–21 (1971)

    Google Scholar 

  • Montgomery, T.R., Whitlock, G.F., Nohlgren, J.E., Lewis, A.M.: What becomes of the patient with latent or occult carcinoma of the prostate? J. Urol. 86, 655–658 (1961)

    Google Scholar 

  • Moore, R.A.: The morphology of small prostatic carcinoma. J. Urol. 33, 224–234 (1935)

    Google Scholar 

  • Mostofi, F.K., Price, E.B.: Tumors of the male genital system. In: Atlas of Tumor Pathology, vol. 8, pp. 245–258. Washington: AFIP 1973

    Google Scholar 

  • Munsie, W.J., Foster, E.A.: Unsuspected very small foci of carcinoma of the prostate in transurethral resection specimens. Cancer 21, 692–698 (1968)

    Google Scholar 

  • Murphy, G.P., Reynoso, G., Kenny, G.M., Gaeta, J.F.: Comparison of total and prostatic fraction serum acid phosphatase levels in patients with differentiated and undifferentiated prostatic carcinoma. Cancer 23, 1309–1314 (1969)

    Google Scholar 

  • Murphy, G.P., Saroff, J., Joiner, J., Gaeta, J.: Prostatic carcinoma treated at categorical center, 1960–1969. N.Y. State J. Med. 75, 1663–1669 (1975)

    Google Scholar 

  • Myers, G.M. (1937): quoted by Labess

  • Nesbit, R.M., Baum, W.C.: Management of occult prostatic carcinoma. J. Urol. 65, 890–894 (1951)

    Google Scholar 

  • Nichols, R.T., Barry, J.M., Hodges, C.V.: The morbidity of radical prostatectomy for multifocal stage I prostatic adenocarcinoma. J. Urol. 117, 83–84 (1977)

    Google Scholar 

  • Oota, K.: Latent carcinoma of the prostate among the Japanese. Acta Un. Int. Cancer 17, 952–957 (1961)

    Google Scholar 

  • Pool, T.L., Thompson, G.J.: Conservative treatment of carcinoma of the prostate. JAMA 160, 833–837 (1956)

    Google Scholar 

  • Prout, G.R.: Diagnosis and staging of prostatic carcinoma. In: Urologic Pathology: The Prostate, pp. 199–213. Philadelphia: Lea-Febiger 1977

    Google Scholar 

  • Ray, G.R., Pistenma, D.A., Castellino, R.A., Kempson, R.L., Meares, E.L., Bagshaw, M.A.: Operative staging of apparently localized adenocarcinoma of the prostate: results in 50 unselected patients. I. Experimental design and preliminary results. Cancer 38, 73–83 (1976)

    Google Scholar 

  • Rich, A.R.: On the frequency of occurrence of occult carcinoma of the prostate. J. Urol. 33, 215–223 (1935)

    Google Scholar 

  • Rotkin, I.D.: Studies in the epidemiology of prostatic cancer: expanded sampling. Cancer Treat. Rep. 61, 173–180 (1977)

    Google Scholar 

  • Schoonees, R., Palma, L.D., Gaeta, J.F., Moore, R.M., Murphy, G.P.: Prostatic carcinoma treated at categorical center. Clinical and pathologic observations. N.Y. State J. Med. 72, 1021–1027 (1972)

    Google Scholar 

  • Scott, R. Jr., Mutchnik, D.L., Laskowski, T.Z., Schmalhorst, W.R.: Carcinoma of the prostate in elderly men: incidence, growth characteristics and clinical significance. J. Urol. 101, 602–607 (1969)

    Google Scholar 

  • Smith, G.C., Woodruff, L.M.: The development of cancer of the prostate after subtotal prostatectomy. J. Urol. 63, 1077–1080 (1950)

    Google Scholar 

  • Swan, R.H.J.: The incidence of malignant disease in the apparently benign enlargement of the prostate. Lancet II, 971–974 (1923)

    Google Scholar 

  • Szendroi, Z., Csontai, A., Koranyi, E.: Diagnostische und therapeutische Probleme im Zusammenhang mit dem gemeinsamen Vorkommen der sog. Prostatahypertrophie und des Karzinoms. Acta Chir. Acad. Sci. Hung. 13, 211–220 (1972)

    Google Scholar 

  • Tannenbaum, M.: Surgical pathology of the prostate. Histopathology of the prostate gland. In: Urologic Pathology: The Prostate, pp. 303–397. Philadelphia: Lea-Febiger 1977

    Google Scholar 

  • Thomson Walker, J. (1922): quoted by Swan

  • Tomlinson, R.L., Currie, D.P., Boyce, W.H.: Radical prostatectomy: palliation for stage C carcinoma of the prostate. J. Urol. 117, 85–87 (1977)

    Google Scholar 

  • Treiger, P., Welfeld, J., Marx, J. (1948): quoted by Emmett et al.

  • Turner, R.D., Belt, E.: A study of 229 consecutive cases of total perineal prostatectomy for cancer of the prostate. J. Urol. 77, 62–77 (1957)

    Google Scholar 

  • Vacurg: Carcinoma of the prostate: treatment comparisons. J. Urol. 98, 516–522 (1967a)

    Google Scholar 

  • Vacurg: Treatment and survival of patients with cancer of the prostate. Surg. Gynaec. Obst. 124, 1011–1017 (1967b)

    Google Scholar 

  • Varkarakis, M.J., Murphy, G.P., Nelson, C.M.K., Chehval, M., Moore, R.H., Flocks, R.H.: Lymph node involvement in prostatic carcinoma. Urol. Clin. North Am. 2, 197–212 (1975)

    Google Scholar 

  • Wade, H. (1914): quoted by Emmett et al.

  • Whitmore, W.F.: Hormone therapy in prostatic cancer. Am. J. Med. 21, 697–713 (1956)

    Google Scholar 

  • Whitmore, W.F.: The rationale and results of ablative surgery for prostatic cancer. Cancer 16, 1119–1132 (1963)

    Google Scholar 

  • Whitmore, W.F.: The natural history of prostatic cancer. Cancer 32, 1105–1112 (1973)

    Google Scholar 

  • Wiederanders, R.E., Stuber, R.V., Motta, C., O'Connell, D., Haslam, G.J.: Prognostic value of grading prostatic carcinoma. J. Urol. 89, 881–888 (1963)

    Google Scholar 

  • Wilson, C.S., Dahal, D.S., Middleton, R.G.: Pelvic lymphadenectomy for the staging of apparently localized prostatic cancer. J. Urol. 117, 197–198 (1977)

    Google Scholar 

  • Yatani, R., Bean, M.A., Liu, P.I., Fukazawa, K., Fujita, S., Ashley, F.W.: Histopathology of prostatic carcinoma at autopsy in Hiroshima and Nagasaki, Mie. Med. J. 23, 233–246 (1974)

    Google Scholar 

  • Young, H.H.: The ultimate results in the treatment of carcinoma of the prostate by radical removal of the prostate, vescical neck, and seminal vesicles. J. Urol. 29, 531–543 (1933)

    Google Scholar 

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Supported in part by a Grant from the Ministry of Education (art. 286 T.U., 1977/78)

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Battaglia, S., Barbolini, G. & Botticelli, A.R. Early (Stage A) prostatic cancer. Virchows Arch. A Path. Anat. and Histol. 382, 245–259 (1979). https://doi.org/10.1007/BF00430401

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