CHAPTER 091 BENIGN AND MALIGNANT DISEASES OF THE PROSTATE PART 2

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 2) Diagnosis and Treatment by Clinical State The disease continuum—from the appearance of a preneoplastic and invasive lesion localized to the prostate, to a metastatic lesion that results in symptoms and, ultimately, mo[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 1) Harrison's Internal Medicine > Chapter 91. Benign and Malignant Diseases of the Prostate Benign and Malignant Diseases of the Prostate: Introduction Benign and malignant changes in the prostate increase with age. Auto[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 6) Radical Prostatectomy The goal of radical prostatectomy is to excise the cancer completely with a clear margin, to maintain continence by preserving the external sphincter, and to preserve potency by preserving the autonomic[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 9) Antiandrogens Nonsteroidal antiandrogens such as flutamide, bicalutamide, and nilutamide block the binding of androgens to the receptor. When an antiandrogen is given alone, testosterone levels remain the same or increase. C[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 4) Pathology The noninvasive proliferation of epithelial cells within ducts is termed prostatic intraepithelial neoplasia. PIN is a precursor of cancer, but not all PIN lesions develop into invasive cancers. Of the cancers iden[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 3) The PSA criteria used to recommend a diagnostic prostate biopsy have evolved over time. The goal is to increase the sensitivity of the test for younger men more likely to die of the disease and to reduce the frequency of det[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 7) Brachytherapy Brachytherapy is the direct implantation of radioactive sources into the prostate. It is based on the principle that the deposition of radiation energy in tissues decreases as a function of the square of the di[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 8) For patients with a rising PSA after radiation therapy, salvage prostatectomy can be considered if the disease was "curable" at the outset, if persistent disease has been documented by a biopsy of the prostate, and if no met[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 11) Benign Disease Symptoms Benign proliferative disease may produce hesitancy, intermittent voiding, a diminished stream, incomplete emptying, and postvoid leakage. The severity of these symptoms can be quantitated with the se[r]

Chapter 091. Benign and Malignant Diseases of the Prostate (Part 5) TRUS is the imaging technique most frequently used to assess the primary tumor, but its chief use is directing prostate biopsies, not staging. No TRUS finding consistently indicates cancer with certainty. CT lacks sensitivit[r]

First published in electronic form 2007 ISBN: 978 1 84803 091 6 Cover design by Baseline Arts Ltd, Oxford, UK Produced for How To Books by Deer Park Productions, Tavistock, Devon, UK Typeset by PDQ Typesetting, Newcastle-under-Lyme, Staffs, UK NOTE: The material contained in this book is s[r]

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