Frequency of Positive Surgical Margin at Prostatectomy and Its Effect on Patient Outcome

A positive surgical margin at prostatectomy is defined as tumor cells touching the inked edge of the specimen. This finding is reported in 8.8% to 42% of cases (median about 20%) in various studies. It is one of the main determinants of eventual biochemical (PSA) failure, generally associated with...

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Main Authors: Kenneth A. Iczkowski, M. Scott Lucia
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Prostate Cancer
Online Access:http://dx.doi.org/10.1155/2011/673021
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author Kenneth A. Iczkowski
M. Scott Lucia
author_facet Kenneth A. Iczkowski
M. Scott Lucia
author_sort Kenneth A. Iczkowski
collection DOAJ
description A positive surgical margin at prostatectomy is defined as tumor cells touching the inked edge of the specimen. This finding is reported in 8.8% to 42% of cases (median about 20%) in various studies. It is one of the main determinants of eventual biochemical (PSA) failure, generally associated with a doubled or tripled risk of failure. The effect of a positive margin on outcome can be modified by stage or grade and the length, number and location of positive margins, as well as by technical operative approach and duration of operator experience. This paper tabulates data from the past decade of studies on margin status.
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spelling doaj-art-9dcb00ad1a3c43b9a290c151d407bc322025-02-03T06:00:46ZengWileyProstate Cancer2090-31112090-312X2011-01-01201110.1155/2011/673021673021Frequency of Positive Surgical Margin at Prostatectomy and Its Effect on Patient OutcomeKenneth A. Iczkowski0M. Scott Lucia1Department of Pathology, School of Medicine, University of Colorado Denver, Aurora, CO 80045, USADepartment of Pathology, School of Medicine, University of Colorado Denver, Aurora, CO 80045, USAA positive surgical margin at prostatectomy is defined as tumor cells touching the inked edge of the specimen. This finding is reported in 8.8% to 42% of cases (median about 20%) in various studies. It is one of the main determinants of eventual biochemical (PSA) failure, generally associated with a doubled or tripled risk of failure. The effect of a positive margin on outcome can be modified by stage or grade and the length, number and location of positive margins, as well as by technical operative approach and duration of operator experience. This paper tabulates data from the past decade of studies on margin status.http://dx.doi.org/10.1155/2011/673021
spellingShingle Kenneth A. Iczkowski
M. Scott Lucia
Frequency of Positive Surgical Margin at Prostatectomy and Its Effect on Patient Outcome
Prostate Cancer
title Frequency of Positive Surgical Margin at Prostatectomy and Its Effect on Patient Outcome
title_full Frequency of Positive Surgical Margin at Prostatectomy and Its Effect on Patient Outcome
title_fullStr Frequency of Positive Surgical Margin at Prostatectomy and Its Effect on Patient Outcome
title_full_unstemmed Frequency of Positive Surgical Margin at Prostatectomy and Its Effect on Patient Outcome
title_short Frequency of Positive Surgical Margin at Prostatectomy and Its Effect on Patient Outcome
title_sort frequency of positive surgical margin at prostatectomy and its effect on patient outcome
url http://dx.doi.org/10.1155/2011/673021
work_keys_str_mv AT kennethaiczkowski frequencyofpositivesurgicalmarginatprostatectomyanditseffectonpatientoutcome
AT mscottlucia frequencyofpositivesurgicalmarginatprostatectomyanditseffectonpatientoutcome