Yıl: 2021 Cilt: 37 Sayı: 3 Sayfa Aralığı: 233 - 238 Metin Dili: İngilizce DOI: 10.5146/tjpath.2021.01546 İndeks Tarihi: 29-05-2022

Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?

Öz:
Objective: To investigate the effect of the distance between tumor and surgical margin on biochemical recurrence in patients with organ-confined prostate cancer. Material and Method: The data of 208 patients, who underwent radical prostatectomy between 2012-2018, were retrospectively analyzed. The surgical margin status of 147 pathologically organ-confined patients was categorized as positive, close (<1mm) and negative. Surgical margin status and parameters affecting biochemical recurrence were examined. Furthermore, multivariate analysis was done to determine the parameters associated with biochemical recurrence. Results: Biochemical recurrence was detected in 21 (14.2%) of 147 patients. 38 (27.9%) men had negative surgical margins, 68 (46.2%) had close surgical margins and 41 (25.9%) had positive surgical margins. Tumor volume and ISUP grade were found to be statistically significant for positive surgical margin and close surgical margin patients compared to negative surgical margin patients. Close surgical margin was not statistically associated with biochemical recurrence. Preoperative high PSA (p<0.001) and positive surgical margin (p=0.021) were independent risk factors for biochemical recurrence. Conclusion: According to our results, it is not necessary to include the presence of a close surgical margin in the pathology reports in patients with pathological organ-confined tumors and negative surgical margins.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Boorjian SA, Karnes RJ, Crispen PL, Carlson RE, Rangel LJ, Bergstralh EJ, Blute ML. The impact of positive surgical margins on mortality following radical prostatectomy during the prostate specific antigen era. J Urol. 2010;183:1003-9.
  • 2. Wright JL, Dalkin BL, True LD, Ellis WJ, Stanford JL, Lange PH, Lin DW. Positive surgical margins at radical prostatectomy predict prostate cancer specific mortality. J Urol. 2010;183:2213- 8.
  • 3. Swindle P, Eastham JA, Ohori M, Kattan MW, Wheeler T, Maru N, Slawin K, Scardino PT. Do margins matter? The prognostic significance of positive surgical margins in radical prostatectomy specimens. J Urol. 2008;179:S47-51.
  • 4. Karakiewicz PI, Eastham JA, Graefen M, Cagiannos I, Stricker PD, Klein E, Cangiano T, Schröder FH, Scardino PT, Kattan MW. Prognostic impact of positive surgical margins in surgically treated prostate cancer: Multi-institutional assessment of 5831 patients. Urology. 2005;66:1245-50.
  • 5. Alkhateeb S, Alibhai S, Fleshner N, Finelli A, Jewett M, Zlotta A, Nesbitt M, Lockwood G, Trachtenberg J. Impact of positive surgical margins after radical prostatectomy differs by disease risk group. J Urol. 2010;183:145-50.
  • 6. Stamey TA, McNeal JE, Yemoto CM, Sigal BM, Johnstone IM. Biological determinants of cancer progression in men with prostate cancer. JAMA. 1999;281:1395-400.
  • 7. Hull GW, Rabbani F, Abbas F, Wheeler TM, Kattan MW, Scardino PT. Cancer control with radical prostatectomy alone in 1,000 consecutive patients. J Urol. 2002;167:528-34.
  • 8. Nagtegaal ID, Marijnen CA, Kranenbarg EK, van de Velde CJ, van Krieken JH. Circumferential margin involvement is still an important predictor of local recurrence in rectal carcinoma: Not one millimeter but two millimeters is the limit. Am J Surg Pathol. 2002;26:350-7.
  • 9. Bernstein TE, Endreseth BH, Romundstad P, Wibe A. Circumferential resection margin as a prognostic factor in rectal cancer. Br J Surg. 2009;96:1348-57.
  • 10. Van den Broeck T, van den Bergh RCN, Arfi N, Gross T, Moris L, Briers E, Cumberbatch M, De Santis M, Tilki D, Fanti S, Fossati N, Gillessen S, Grummet JP, Henry AM, Lardas M, Liew M, Rouvière O, Pecanka J, Mason MD, Schoots IG, van Der Kwast TH, van Der Poel HG, Wiegel T, Willemse PM, Yuan Y, Lam TB, Cornford P, Mottet N. Prognostic Value of Biochemical Recurrence Following Treatment with Curative Intent for Prostate Cancer: A Systematic Review. Eur Urol. 2019;75:967-87.
  • 11. Stolzenbach LF, Knipper S, Mandel P, Ascalone L, Deuker M, Tian Z, Heinzer H, Tilki D, Maurer T, Graefen M, Karakiewicz PI, Steuber T. Oncological outcomes of pathologically organconfined, lymph node-positive prostate cancer after radical prostatectomy. Urol Oncol. 2021;39:234.e1-234.e7.
  • 12. Aoun F, Albisinni S, Henriet B, Tombal B, Van Velthoven R, Roumeguère T. Predictive factors associated with biochemical recurrence following radical prostatectomy for pathological T2 prostate cancer with negative surgical margins. Scand J Urol. 2017;51:20-6.
  • 13. Whalen MJ, Shapiro EY, Rothberg MB, Turk AT, Woldu SL, Roy Choudhury A, Patel T, Badani KK. Close surgical margins after radical prostatectomy mimic biochemical recurrence rates of positive margins. Urol Oncol. 2015;33:494.e9-494.e14.
  • 14. Herforth C, Stroup SP, Chen Z, Howard LE, Freedland SJ, Moreira DM, Terris MK, Aronson WJ, Cooperberg MR, Amling CL, Kane CJ. Radical prostatectomy and the effect of close surgical margins: results from the Shared Equal Access Regional Cancer Hospital (SEARCH) database. BJU Int. 2018;122:592-8.
  • 15. Lu J, Wirth GJ, Wu S, Chen J, Dahl DM, Olumi AF, Young RH, McDougal WS, Wu CL. A close surgical margin after radical prostatectomy is an independent predictor of recurrence. J Urol. 2012;188:91-7.
  • 16. Izard JP, True LD, May P, Ellis WJ, Lange PH, Dalkin B, Lin DW, Schmidt RA, Wright JL. Prostate cancer that is within 0.1 mm of the surgical margin of a radical prostatectomy predicts greater likelihood of recurrence. Am J Surg Pathol. 2014;38:333-8.
APA OZBEK A, OZBEK R, Duvarcı M, KANDEMIR O (2021). Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. , 233 - 238. 10.5146/tjpath.2021.01546
Chicago OZBEK Ayse,OZBEK Rıdvan,Duvarcı Mehmet,KANDEMIR Olcay Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. (2021): 233 - 238. 10.5146/tjpath.2021.01546
MLA OZBEK Ayse,OZBEK Rıdvan,Duvarcı Mehmet,KANDEMIR Olcay Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. , 2021, ss.233 - 238. 10.5146/tjpath.2021.01546
AMA OZBEK A,OZBEK R,Duvarcı M,KANDEMIR O Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. . 2021; 233 - 238. 10.5146/tjpath.2021.01546
Vancouver OZBEK A,OZBEK R,Duvarcı M,KANDEMIR O Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. . 2021; 233 - 238. 10.5146/tjpath.2021.01546
IEEE OZBEK A,OZBEK R,Duvarcı M,KANDEMIR O "Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?." , ss.233 - 238, 2021. 10.5146/tjpath.2021.01546
ISNAD OZBEK, Ayse vd. "Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?". (2021), 233-238. https://doi.org/10.5146/tjpath.2021.01546
APA OZBEK A, OZBEK R, Duvarcı M, KANDEMIR O (2021). Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. Türk Patoloji Dergisi, 37(3), 233 - 238. 10.5146/tjpath.2021.01546
Chicago OZBEK Ayse,OZBEK Rıdvan,Duvarcı Mehmet,KANDEMIR Olcay Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. Türk Patoloji Dergisi 37, no.3 (2021): 233 - 238. 10.5146/tjpath.2021.01546
MLA OZBEK Ayse,OZBEK Rıdvan,Duvarcı Mehmet,KANDEMIR Olcay Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. Türk Patoloji Dergisi, vol.37, no.3, 2021, ss.233 - 238. 10.5146/tjpath.2021.01546
AMA OZBEK A,OZBEK R,Duvarcı M,KANDEMIR O Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. Türk Patoloji Dergisi. 2021; 37(3): 233 - 238. 10.5146/tjpath.2021.01546
Vancouver OZBEK A,OZBEK R,Duvarcı M,KANDEMIR O Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?. Türk Patoloji Dergisi. 2021; 37(3): 233 - 238. 10.5146/tjpath.2021.01546
IEEE OZBEK A,OZBEK R,Duvarcı M,KANDEMIR O "Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?." Türk Patoloji Dergisi, 37, ss.233 - 238, 2021. 10.5146/tjpath.2021.01546
ISNAD OZBEK, Ayse vd. "Does the Distance of the Tumor from the Surgical Margin Affect Biochemical Recurrence in Patients with Pathological Organ-Confined Prostate Cancer?". Türk Patoloji Dergisi 37/3 (2021), 233-238. https://doi.org/10.5146/tjpath.2021.01546