Surgical management of high risk prostate cancer: The Mayo Clinic experience

Stephen A. Boorjian, Michael L. Blute

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

Although the prostate specific antigen (PSA) era has altered the clinical and demographic characteristics of men with newly-diagnosed prostate cancer, the impact on patients with high risk disease has been less predictable. We have long advocated aggressive surgical resection for patients with high risk prostate cancer at the Mayo Clinic, including patients with clinical T3 tumors, and have reported our results as well of radical prostatectomy with adjuvant hormonal therapy in the setting of lymph node positive disease. At the same time, multiple predictive models have been developed to assess the risk of disease progression following definitive therapy for prostate cancer. One such model is pretreatment risk group stratification, based on patients' PSA at diagnosis, biopsy Gleason score, and clinical stage. Here, we will review our institution's experience with surgical treatment for men with high risk prostate cancer, and will address the benefits and potential pitfalls of the pretreatment risk group classification model for high risk patients.

Original languageEnglish (US)
Pages (from-to)530-532
Number of pages3
JournalUrologic Oncology: Seminars and Original Investigations
Volume26
Issue number5
DOIs
StatePublished - Sep 1 2008

Keywords

  • Gleason score
  • Lymph nodes
  • Prostate cancer
  • Radical prostatectomy

ASJC Scopus subject areas

  • Oncology
  • Urology

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