The impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high-risk prostate cancer

Introduction. To date, the impact of the time interval from diagnostic prostate biopsy to radical prostatectomy on treatment outcomes remains a topical issue.Objective. To evaluate the effect of the timespan from diagnosis to radical treatment of prostate cancer (PCa) patients on tumor morphology an...

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Main Authors: S. A. Reva, A. V. Arnautov, A. K. Nosov, M. V. Berkut, S. B. Petrov, A. M. Belyaev
Format: Article
Language:Russian
Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 2022-10-01
Series:Vestnik Urologii
Subjects:
Online Access:https://www.urovest.ru/jour/article/view/580
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author S. A. Reva
A. V. Arnautov
A. K. Nosov
M. V. Berkut
S. B. Petrov
A. M. Belyaev
author_facet S. A. Reva
A. V. Arnautov
A. K. Nosov
M. V. Berkut
S. B. Petrov
A. M. Belyaev
author_sort S. A. Reva
collection DOAJ
description Introduction. To date, the impact of the time interval from diagnostic prostate biopsy to radical prostatectomy on treatment outcomes remains a topical issue.Objective. To evaluate the effect of the timespan from diagnosis to radical treatment of prostate cancer (PCa) patients on tumor morphology and long-term oncological outcomes.Materials and methods. A retrospective analysis of the results of treatment of patients with high-risk PCa who underwent radical prostatectomy with extended lymphadenectomy from 2001 to 2019 in three St. Petersburg clinics was performed. The influence of the time interval from prostate biopsy to radical treatment on long-term outcomes was assessed.Results. An increase in the time interval before surgical treatment over three months did not affect the tumor morphology. Five-year biochemical relapse-free survival was 79.7%, 67.8% and 52.5% among patients with time interval from biopsy to surgical treatment less than 30 days, 30 – 90 days and more than 90 days, respectively. The time interval prior to radical treatment did not have any effect on overall and cancer-specific survival.Conclusion. The time interval from prostate biopsy to surgical intervention, not exceeding 3 months, is the most favorable with respect to long-term outcomes.
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spelling doaj.art-530cfc06e10c47069d581c2293d783402024-03-06T08:56:05ZrusState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationVestnik Urologii2308-64242022-10-01103445310.21886/2308-6424-2022-10-3-44-53385The impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high-risk prostate cancerS. A. Reva0A. V. Arnautov1A. K. Nosov2M. V. Berkut3S. B. Petrov4A. M. Belyaev5Pavlov First Saint-Petersburg State Medical University (Pavlov University); Petrov National Medical Research Center of OncologyPavlov First Saint-Petersburg State Medical University (Pavlov University)Petrov National Medical Research Center of OncologyPetrov National Medical Research Center of OncologyPavlov First Saint-Petersburg State Medical University (Pavlov University); Petrov National Medical Research Center of Oncology; Nikiforov Centre of Emergency and Radiation MedicinePetrov National Medical Research Center of Oncology; Mechnikov North-Western State Medical UniversityIntroduction. To date, the impact of the time interval from diagnostic prostate biopsy to radical prostatectomy on treatment outcomes remains a topical issue.Objective. To evaluate the effect of the timespan from diagnosis to radical treatment of prostate cancer (PCa) patients on tumor morphology and long-term oncological outcomes.Materials and methods. A retrospective analysis of the results of treatment of patients with high-risk PCa who underwent radical prostatectomy with extended lymphadenectomy from 2001 to 2019 in three St. Petersburg clinics was performed. The influence of the time interval from prostate biopsy to radical treatment on long-term outcomes was assessed.Results. An increase in the time interval before surgical treatment over three months did not affect the tumor morphology. Five-year biochemical relapse-free survival was 79.7%, 67.8% and 52.5% among patients with time interval from biopsy to surgical treatment less than 30 days, 30 – 90 days and more than 90 days, respectively. The time interval prior to radical treatment did not have any effect on overall and cancer-specific survival.Conclusion. The time interval from prostate biopsy to surgical intervention, not exceeding 3 months, is the most favorable with respect to long-term outcomes.https://www.urovest.ru/jour/article/view/580prostate cancerradical prostatectomybiochemical relapsesurvivalinterval before treatment
spellingShingle S. A. Reva
A. V. Arnautov
A. K. Nosov
M. V. Berkut
S. B. Petrov
A. M. Belyaev
The impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high-risk prostate cancer
Vestnik Urologii
prostate cancer
radical prostatectomy
biochemical relapse
survival
interval before treatment
title The impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high-risk prostate cancer
title_full The impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high-risk prostate cancer
title_fullStr The impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high-risk prostate cancer
title_full_unstemmed The impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high-risk prostate cancer
title_short The impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high-risk prostate cancer
title_sort impact of the time interval from diagnosis to radical prostatectomy on oncological outcomes in high risk prostate cancer
topic prostate cancer
radical prostatectomy
biochemical relapse
survival
interval before treatment
url https://www.urovest.ru/jour/article/view/580
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