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전립선암에 대한 임상적 고찰

Clinical Observation on Carcinoma of the Prostate

대한비뇨기과학회지 1983년 24권 2호 p.281 ~ 285
구덕천/Koo DC
민병갑/Min BK

Abstract


Nineteen patients of carcinoma of the prostate admitted to the Department of Urology, Chonnam University Medical School, between 1977 and 1981 were reviewed linically.
The following results were obtained.

1. The average age of the patients was 68.6 years, with a range of 25 to 85 years.

2. The average duration from onset of the symptoms to admission was 8 months, with a range of 8 days to 4 years. The presenting symptoms were of prostatic obstruction in 17 cages (89.5%), gross hematuria in 3 cases (15.8%) and bone pain in 3 cases (15.8%).

3. Serum acid phosphatase level was elevated in 7 of 19 patients, 5 of whom had distant metastasis. Serum alkaline phosphatase level was elevated in 5 of 19 patients, 2 of whom had osteoblastic bony metastasis.

4. Biopsy of the prostate was performed by transrectal needle biopsy in 8 cases, transperineal needle biopsy in 2 cases and transurethral resection in 3 cages. All cases were revealed adenocarcinoma of the prostate. In 6 cases adenocarcinoma of the prostate was found within the hyperplastic benign prostatic lobes.

5. Orchiectomy was done in 5 cases and endocrine therapy was done in 13 cases.

6. Follow-up studies were performed clinically in 11 cages ranging in duration from 4 months to 42 months. During this period 3 patients died in 10 months, 11 months and 24 months after operation, respectively.

키워드

전립선종양; prostate cancer
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