Evidence map›Paper›PMID 39502616›Full record

ArticleCancer diagnosis & prognosis

Cribriform Pattern Is a Predictive Factor of PSA Recurrence in Patients Receiving Radiotherapy After Prostatectomy.

Masahiro Kawahara, Akira Tanaka, Keiko Akahane, Masashi Endo, Yukiko Fukuda, Kohei Okada, Kazunari Ogawa, Satoru Takahashi, Michiko Nakamura, Tsuzumi Konishi and 7 more

Abstract read
In one paragraph

Article in Cancer diagnosis & prognosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

17 authors.

Masahiro KawaharaDepartment of Radiology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Akira TanakaDepartment of Pathology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Keiko AkahaneDepartment of Radiology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Masashi EndoDepartment of Radiology, Jichi Medical University Hospital, Tochigi, Japan.
Yukiko FukudaDepartment of Radiology, Jichi Medical University Hospital, Tochigi, Japan.
Kohei OkadaDepartment of Radiology, Jichi Medical University Hospital, Tochigi, Japan.
Kazunari OgawaDepartment of Radiology, Jichi Medical University Hospital, Tochigi, Japan.
Satoru TakahashiDepartment of Radiology, Jichi Medical University Hospital, Tochigi, Japan.
Michiko NakamuraDepartment of Radiology, Jichi Medical University Hospital, Tochigi, Japan.
Tsuzumi KonishiDepartment of Urology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Kimitoshi SaitoDepartment of Urology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Satoshi WashinoDepartment of Urology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Tomoaki MiyagawaDepartment of Urology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Masahiro HirutaDepartment of Pathology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Hisashi OshiroDepartment of Pathology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Noriko Oyama-ManabeDepartment of Radiology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Katsuyuki ShiraiDepartment of Radiology, Jichi Medical University Saitama Medical Center, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aim: In prostate cancer, robotic total prostatectomy is a popular treatment modality. However, prostate-specific antigen (PSA) recurrence after prostate cancer surgery remains a concern. Salvage radiotherapy is commonly used to treat PSA recurrence, but the recurrence rate after salvage radiotherapy is high, highlighting the need for better predictive markers. This study aimed to retrospectively evaluate the association between cribriform pattern and PSA recurrence in patients receiving radiotherapy after radical prostatectomy. Patients and Methods: Data of 50 patients who underwent radiotherapy after total prostatectomy between January 2010 and May 2020 were retrospectively evaluated. The median age was 67 years. Among these patients, two cases involved postoperative irradiation, while 48 cases involved salvage irradiation after postoperative PSA recurrence. The median time from surgery to PSA recurrence was 38.3 months. The median radiation dose was 64 Gy in 32 fractions. Three-dimensional conformal radiation therapy was administered in 38 cases and intensity-modulated radiation therapy was used in 12 cases. Combined hormone therapy was administered in 21 cases. PSA levels were measured every 3 months after treatment. Statistical analysis between groups was performed by a t-test. Results: The median follow-up period after radiotherapy was 31 months. No local recurrences were observed at the prostate bed, and no deaths related to prostate cancer were recorded during follow-up. However, 18 patients (36.0%) had PSA recurrence. The PSA recurrence rate based on the cribriform pattern was 17.6% in the none to moderate group (34 patients) and 75.0% in the severe cribriform pattern group (16 patients). The PSA recurrence rate was significantly higher in patients with a severe invasive cribriform pattern (p=0.001). No significant differences were observed in other histopathological characteristics. Conclusion: The cribriform pattern in surgical pathology specimens was found to be a useful predictor of PSA recurrence after postoperative radiotherapy.

Indexed as

Cribriform patternpostoperative radiation therapyProstate cancerprostate-specific antigen (PSA) recurrence

Identifiers

PMID39502616
PMCPMC11534056

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.