Pathologic assessment and clinical significance of prostatic involvement by transitional cell carcinoma and prostate cancer

Seth P. Lerner, Steven Shen

Research output: Contribution to journalReview article

19 Scopus citations

Abstract

The prostate is commonly involved by transitional cell carcinoma (TCC) in patients with bladder cancer. A number of clinicopathologic factors including multifocal carcinoma in situ, tumor location, and tumor stage are associated with prostatic TCC (pTCC). In addition, the manner and extent of pathologic examination also makes a significant difference in the detection rate. Distinct patterns and extent of pTCC have been described and are associated with pathologic stage of the primary bladder tumor as well as prognosis. Preoperative transurethral biopsy of the prostatic urethra is a sensitive and accurate method to detect pTCC and is helpful for surgical planning. Given the high incidence of pTCC and prostatic adenocarcinoma, radical cystoprostatectomy is the treatment of choice for loco-regional control for patients with T4a disease. Further studies are necessary to establish the role of neoadjuvant and adjuvant therapy for patient with prostatic stroma invasion.

Original languageEnglish (US)
Pages (from-to)481-485
Number of pages5
JournalUrologic Oncology: Seminars and Original Investigations
Volume26
Issue number5
DOIs
StatePublished - Sep 1 2008

Keywords

  • Bladder cancer
  • Guidelines
  • Prostate adenocarcinoma
  • Prostatic transitional cell carcinoma

ASJC Scopus subject areas

  • Oncology
  • Urology

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