By Roger S. Kirby MD FRCS(Urol) FEBU
It is a condensed model of the author's profitable Atlas of Prostatic Disease. The emphasis is on a succinct description of prostatic affliction in a principally illustrative layout. The publication covers the factors, prognosis and staging of prostate melanoma, benign prostatic hyperplasia and prostatitis. The sections on therapy were improved by way of the addition of algorithms to summarize the decision-making approach.
Men's overall healthiness is now a tremendous public healthiness factor and prostatic affliction could have an important impression at the caliber of lifetime of many males. This publication will supply a handy precis for urologists, basic care physicians and nurse practitioners
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Additional resources for An illustrated pocketbook of prostatic diseases
They generally grow slowly at first, often with a cell-doubling time of more than 2 years. As dedifferentiation occurs due to sequential mutations, however, clonal selection results in an increase in the rate of cell division and the development of local invasion. The TNM (tumors/nodes/metastases) staging system classifies prostate cancers locally as T1–4 (Figure 51). Impalpable tumors, which are now being detected with increasing frequency, are classified as T1A and T1B (according to grade and volume) when identified by transurethral resection (TUR), or as T1C if impalpable, and detected purely on the basis of an elevated PSA and subsequent transrectal ultrasound (TRUS)-guided biopsy.
In this situation, the adenoma is often stromal rather than glandular in nature, is not detectable by digital rectal examination (DRE) and is commonly associated with a disproportionate amount of bladder outlet obstruction. Localized progression of prostate cancer The majority of prostate cancers develop initially in the peripheral zone of the prostate, either from, or in conjunction with, prostatic epithelium neoplasia. They generally grow slowly at first, often with a cell-doubling time of more than 2 years.
These tumor gradings appear to correlate well with subsequent metastatic potential and overall survival. Cancers originating in the transitional zone tend to have a lower Gleason grade than tumors of the peripheral zone, an observation that appears to correlate well with the higher proliferative rates seen in the latter (Figure 36). Further information concerning the biological aggressiveness of the cancer can be gleaned from features such as perineural invasion (Figure 37), infiltration of the capsule, adjacent adipose tissue or striated muscle, as well as seminal vesicle invasion (Figure 38).