[Usefulness of imaging studies in prostate cancer: Analysis of 241 patients]. / ¿Es necesario realizar un estudio de etapificación en todos los pacientes con cáncer de próstata?: Experiencia de un centro clínico nacional.
Rev Med Chil
; 145(5): 579-584, 2017 May.
Article
em Es
| MEDLINE
| ID: mdl-28898333
ABSTRACT
BACKGROUND:
The role of staging studies in patients with prostate cancer (PCa) is a topic of discussion.AIM:
To evaluate the usefulness of imaging studies in patients with prostate cancer. MATERIAL ANDMETHODS:
We reviewed the pathology service records to identify patients with prostate cancer diagnosed between 2003 and 2013. We reviewed the electronic medical records of those patients identified as having a prostate cancer. Patients were grouped according Damicos classification of cancer dissemination risk. We analized the frequency of imaging studies requested and their efficacy to detect metastases in each risk group.RESULTS:
We identified 241 patients with a mean age of 67 years. Fifty two percent of patients were classified as low-risk, 32% as intermediate-risk and 16% as high risk. At least one imaging study was requested to 64% of patients (49, 78 and 87% of patients with low, intermediate and high risk respectively). Among the 155 patients in whom an imaging study was requested, no metastases were found in the low risk group. On the other hand, dissemination was found in 7% of the intermediate-risk group and 62% of the high-risk group.CONCLUSIONS:
Half of patients with prostate cancer were classified as low risk. In half of this group of low risk patients, staging studies were requested and the probability of detecting metastases was low or nil. The odds of detecting metastases increased in higher risk groups.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Próstata
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Es
Ano de publicação:
2017
Tipo de documento:
Article