Clinical Staging in Carcinoma of the Prostate: Current Aspects

  • B. J. Schmitz-Dräger
  • T. Ebert
  • R. Ackermann
Conference paper
Part of the Recent Results in Cancer Research book series (RECENTCANCER, volume 126)

Abstract

Radical prostatectomy (RP) and megavolt radiotherapy are assumed to be effective in the treatment of localized carcinoma of the prostate (CaP). Several studies have demonstrated that where there is extracapsular and seminal vesicle infiltration, or lymph node metastases, unfavorable results are associated with local treatments [4,15,19,30,65]. Report by some authors, however, in patients with locally advanced disease or lymph node metastases suggest a beneficial effect with RP even in more advanced tumor stages [46,62,68,69]. Tumor debulking by inductive antiandrogen treatment with subsequent RP represents another approach to curing patients with metastatic disease. The advent of new therapeutic strategies and the introduction of modern imaging modalities has led to the question of whether current staging procedures still satisfy clinical requirements. The aim of this manuscript is to analyze the accuracy of modern clinical staging modalities and to evaluate their possible impact on the treatment of patients with CaP.

Keywords

Adenocarcinoma Oncol Radionuclide Stein loST 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • B. J. Schmitz-Dräger
    • 1
  • T. Ebert
    • 1
  • R. Ackermann
    • 1
  1. 1.Urologische AbteilungHeinrich-Heine-UniversitätDüsseldorfGermany

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