(At least in Ontario) it’s not about where you have your surgery

Over the years, data have clearly shown that where a patient has surgical treatment for localized prostate cancer has little impact on short- and long-term outcomes (although who carries out the surgery very definitely does). … READ MORE …

What does a positive surgical margin actually imply?

In an editorial commentary on the UroToday web site, Evans has discussed a recent paper from researchers at the University of Nijmegen on the length of positive surgical margins and the risk for prostate cancer recurrence. … READ MORE …

Risk for positive surgical margins at the apex of the prostate

New research has suggested that “apical prostate depth” (as a measure of the anatomic situation of the prostate) is an independent risk factor for positive surgical margins at the apex (bottom) of the prostate at the time of radical prostatectomy. … READ MORE …

Post-surgical margin status, risk group, and prognosis

A new study from researchers at the University of Toronto has shown that post-prostatectomy surgical margin status appears to have prognostic significance for patients in intermediate- and high-risk groups, but not for low-rsik patients. … READ MORE …

Prostate cancer news reports: Sunday, December 6, 2009

In today’s news reports we comment on:

  • The possible link between obesity and prostate cancer risk
  • The economic impact of widespread prostate cancer screening in Europe
  • The potential roles of tumor volume and PSMs in projecting need for adjuvant radiotherapy post-surgery
  • Biochemical progression after treatment with degarelix (at up to 1 year) … READ MORE …

Predicting progression in men with positive surgical margins

A new analysis of data from over 7,000 radical prostatectomy patients treated at major academic medical centers suggests that the prognostic value of the number, size, and placement of positive surgical margins is very limited. … READ MORE …

Positive surgical margins and robot-assisted laparoscopic prostatectomy

There has long been discussion over whether a lack of tactile sensation affects the likelihood of positive surgical margins (PSMs) in patients undergoing robot-assisted laparoscopic prostatectomy (RALP). A new single-institution cohort offers data on PSM rates in that institution’s most current 500 cases — with a specific emphasis on patients with clinically high-risk disease. … READ MORE …

The Monday news update: March 2, 2009

New reports today address:

  • Positive surgical margins: RALP vs. RRP
  • Circulating tumor cells levels and survival of castration-resistant prostate cancer patients
  • Patient preference and management of post-surgical incontinence … READ MORE …

Of RALP and positive surgical margins post-surgery

The apex of the prostate (the tip end of organ, farthest from the bladder) is the most common site in which positive surgical margins seem to be found after robot-assisted laparoscopic prostatectomy (RALP). … READ MORE …

TGIF prostate cancer news: Friday, October 3

The important news today appears to be clear confirmation that a high- (or low-) fiber diet won’t affect your risk for prostate cancer (at least, not over an 8-year timeframe). In other news today:

  • Prostate weight may impact risk for recurrence following surgery
  • Just over 25 percent of patients receiving hormone therapy will be diagnosed with a psychiatric disorder within the following 7 or so years
  • The relative values of two ways to assess erectile function have been investigated … READ MORE …