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Titlebook: Questions in Daily Urologic Practice; Updates for Urologis Ryoichi Oyasu,Ximing J. Yang,Osamu Yoshida Book 2008 Springer-Verlag Tokyo 2008

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What is the clinical significance of perineural invasion reported on prostate needle core biopsy?c extension of cancer. Perineural invasion observed in a prostate needle core biopsy specimen is significantly associated with an increased risk of extraprostatic extension (by univariate logistic analysis), but it is not possible to quantify the magnitude of the risk.
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What is the difference between a positive surgical margin and extraprostatic extension in pathology serum prostate-specific antigen (PSA) and progression of prostate cancer. Whereas a positive surgical margin often requires additional therapy, such as local irradiation, extraprostatic extension indicates a higher stage but typically does not require immediate therapy unless clinical parameters of
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What are the characteristics of transition zone cancer? Is it less aggressive than the non-transitio study, as many as 14% of stage T1c cancers are exclusively in the TZ. In general, they are small and are of low Gleason score (commonly <6). Because of their anatomic location (away from the “capsule”) and fewer penetrating nerves than in the peripheral zone, they are less likely to behave aggressi
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Is there a significant difference in prognosis between Gleason score 3 + 4 and 4 + 3 prostate cancernent is dominant. In prostatectomy specimens, Gleason score 4 + 3 cancer is associated with a worse clinical outcome than Gleason score 3 + 4 cancer. Dividing a Gleason score 7 tumor to 3 + 4 and 4 + 3 on prostate needle core biopsy is useful only for predicting the final Gleason score in radical pr
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