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Obesity is Associated with Upgrading in Prostate Cancers
Mustafa Sungur1, Selahattin Çalışkan1
1Department of Urology, Çorum Training and Research Hospital, Hitit University, Çorum, Turkey.
Folia Medica
|October 26, 2018
Summary
Obesity is linked to younger age and higher PSA levels at prostate cancer diagnosis. Obese men show higher rates of high-grade, advanced prostate cancer and upgrading after surgery.
Area of Science:
- Urology
- Oncology
- Public Health
Background:
- Prostate cancer (PCa) is a leading cause of cancer death in men globally.
- Emerging evidence suggests a correlation between obesity and PCa.
- Understanding this link is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the effect of obesity on the oncological results following radical prostatectomy.
- To determine if body mass index (BMI) influences postoperative outcomes in PCa patients.
Main Methods:
- Retrospective analysis of 101 patients undergoing radical prostatectomy (2011-2016).
- Patients categorized into normal (BMI<25), overweight (25-29.9), and obese (BMI>30) groups.
- Data collected included age, PSA, biopsy, and pathological results.
Main Results:
- Obese patients were younger at diagnosis with higher PSA levels.
- Higher proportions of locally advanced disease and high-grade PCa observed in obese individuals.
- Significant association found between obesity and tumor upgrading in final pathology reports.
Conclusions:
- Obesity is associated with adverse pathological features in prostate cancer.
- Obese men diagnosed with PCa exhibit poorer prognostic indicators.
- BMI is a significant factor influencing postoperative outcomes and tumor characteristics.
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