Surgical management of prostate cancer

Surgery remains a mainstay in the management of localized prostate cancer. This article addresses surgical aspects germane to the management of men with prostate cancer, including patient selection for surgery, nerve-sparing approaches, minimization of positive surgical margins, and indications for...

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Bibliographic Details
Published inHematology/oncology clinics of North America Vol. 27; no. 6; p. 1111
Main Authors Wright, Jonathan L, Izard, Jason P, Lin, Daniel W
Format Journal Article
LanguageEnglish
Published United States 01.12.2013
Subjects
Humans
Lymph Node Excision
Male
Neoadjuvant Therapy
Neoplasm Grading
Neoplasm Staging
Pelvis - pathology
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Prostatic Neoplasms - therapy
Urologic Surgical Procedures, Male - methods
Neoadjuvant therapy
Radical prostatectomy
High-intensity focused ultrasound
Pelvic lymph node dissection
Surgical margin
Cryotherapy
Prostate cancer
Nerve sparing
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Summary:Surgery remains a mainstay in the management of localized prostate cancer. This article addresses surgical aspects germane to the management of men with prostate cancer, including patient selection for surgery, nerve-sparing approaches, minimization of positive surgical margins, and indications for pelvic lymph node dissection. Outcomes for men with high-risk prostate cancer following surgery are reviewed, and the present role of neoadjuvant therapy before radical prostatectomy is discussed. In addition, there is a review of the published literature on surgical ablative therapies for prostate cancer.
ISSN:1558-1977
DOI:10.1016/j.hoc.2013.08.010