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Comparative clinical features of stage A1 and stage A2 prostate cancers. Is the concept of stage a changing from the current status?

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Abstract

We surveyed the comparative clinical features of patients with stage A1 and stage A2 prostate cancer. Preoperatively, prostate specific antigen (PSA) level was elevated in 50.0% of stage A2 patients as compared to 18.2% of stage A1 patients. Compared to low positivity of prostatic acid phosphatase in 12.5% of stage A2 and in 0% of stage A1, PSA was more sensitive to the presence of incidental carcinoma. During the observation period (mean 35.7 months) no stage A patient died of cancer. No evidence of the disease showed significantly higher rate, and death without cancer was significantly lower in stage A1.

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Kunimi, K., Amano, T., Lee, S.W. et al. Comparative clinical features of stage A1 and stage A2 prostate cancers. Is the concept of stage a changing from the current status?. International Urology and Nephrology 27, 575–585 (1995). https://doi.org/10.1007/BF02564744

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