RESUMO
A study of 66 patients in whom microscopic foci of prostatic cancer was found in prostatectomies done for benign prostatic hyperplasia revealed in 32 of the 66 cases (48%) that there were in retrospect abnormal rectal findings that should have suggested the possibility of neoplasia. Other abnormalities were elevated serum acid phosphatase (5 patients), asymmetrical enlargement of one lateral prostatic lobe at cystoscopy (7 patients), and unilateral hydroureteronephrosis (7 patients). Urinary retention was the presenting symptoms in 56% of the patients. Difficult enucleation was noted in 41% of the open prostatectomies. The importance of performing careful prostatic biopsy in any suspicious prostatic enlargement is again stressed.
Assuntos
Adenocarcinoma/diagnóstico , Próstata/patologia , Prostatectomia , Neoplasias da Próstata/diagnóstico , Adenocarcinoma/complicações , Adenocarcinoma/cirurgia , Idoso , Biópsia , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Prostatectomia/efeitos adversos , Hiperplasia Prostática/diagnóstico , Hiperplasia Prostática/patologia , Neoplasias da Próstata/complicações , Neoplasias da Próstata/cirurgia , Transtornos Urinários/etiologia , UrografiaRESUMO
A case control study of smoking was carried out on 365 Egyptian males with bladder cancer divided into 278 patients (76%) with previous urinary bilharziasis and 87 (24%) without past infestation. The smoking index was significantly higher in both bilharzial and non-bilharzial patients with bladder cancer than their controls. A significant association was found between heavy and moderate cigarette smoking and bladder cancer developing in non-bilharzial subjects. The local habit of "meassel" smoking did not differ significantly between bladder cancer patients and controls.