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Prostatic cancer after prostatectomy for benign disease.
Cancer
|August 15, 1986
Summary
A small percentage of prostate cancer patients had prior benign prostate surgery. Digital rectal exams often detect abnormalities in these patients, suggesting routine post-surgery screening is important.
Area of Science:
- Urology
- Oncology
Background:
- Prostatectomy for benign conditions is common.
- Detecting prostate cancer after prior surgery presents unique challenges.
Purpose of the Study:
- To determine the incidence of prostate cancer in patients with a history of prostatectomy for benign disease.
- To evaluate the utility of digital rectal examination (DRE) in detecting prostate cancer post-prostatectomy.
Main Methods:
- Retrospective review of newly diagnosed prostate cancer cases.
- Analysis of patient history for prior prostatectomy.
- Assessment of DRE findings in patients with prior prostatectomy.
Main Results:
- 5% (20 of 391) of new prostate cancer cases had a prior prostatectomy for benign reasons.
- DRE revealed significant prostatic abnormalities in 84% (16 of 19) of evaluable patients.
Conclusions:
- Prostate cancer can occur in patients with a history of prostatectomy for benign conditions.
- Serial digital rectal examinations are valuable for detecting prostatic abnormalities in patients post-prostatectomy for benign disease.