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Prostatic involvement by transitional cell carcinoma: pathogenesis, patterns and prognosis

P F Schellhammer, M A Bean, W F Whitmore

    The Journal of Urology
    |September 1, 1977
    PubMed
    Summary
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    Transitional cell carcinoma of the bladder can invade the prostate via ductal or stromal patterns. Stromal invasion significantly lowers survival, but combined treatment offers a 20% 5-year survival rate.

    Area of Science:

    • Uro-oncology
    • Pathology

    Background:

    • Prostatic involvement by bladder transitional cell carcinoma presents diverse histologic patterns.
    • These patterns range from ductal/acinar involvement to stromal invasion, with or without glandular involvement.

    Purpose of the Study:

    • To analyze the prognostic implications of different prostatic involvement patterns in transitional cell carcinoma of the bladder.
    • To evaluate survival rates based on tumor stage and prostatic invasion characteristics.

    Main Methods:

    • Histopathological review of prostatic tissues in patients with bladder transitional cell carcinoma.
    • Correlation of prostatic invasion patterns with bladder tumor stage and patient survival data.

    Main Results:

    • Invasive prostatic patterns are more common in high-stage bladder tumors, associated with low 5-year survival.

    Related Experiment Videos

  • Non-invasive prostatic patterns correlate with low-stage bladder tumors and better survival.
  • Prostatic stromal invasion, even with low-stage bladder tumors, leads to poor prognosis.
  • Conclusions:

    • Prostatic involvement in bladder cancer has significant prognostic value.
    • Stromal invasion is a critical adverse prognostic factor, though not entirely hopeless.
    • Preoperative radiotherapy followed by cystoprostatourethrectomy may improve survival in select cases.