background:Pathological involvement of the seminal vesicle poses a treatment dilemma following robotic *** status plays an important role in deciding further management.A wide range of treatment options are available,...
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background:Pathological involvement of the seminal vesicle poses a treatment dilemma following robotic *** status plays an important role in deciding further management.A wide range of treatment options are available,including active monitoring,adjuvant radiotherapy,salvage radiotherapy,and occasionally androgen deprivation *** undergoing postoperative radiotherapy tend to have higher risk of urinary and bowel *** recent RADICALS-Rt concluded that adjuvant radiotherapy did not have any benefit compared with salvage *** aim to audit the incidence,margin status,and management of t3b cancer cases at our *** and methods:A retrospective analysis was conducted of all patients diagnosed with pathological t3b(pt3b)prostate cancer following robotic-assisted laparoscopic prostatectomy from January 2012 to July *** parameters analyzed included prostate-specific antigen(PSA),t stage,and age.A chi-square test and 2-tailed t test were used to determine the relationship between categorical and continuous variables,***-Meier survival curves were generated to assess overall survival in patients with pt3b prostate cancer and used to compare unadjusted progression-free survival among those who underwent adjuvant and salvage ***:A total of 83(5%)of 1665 patients who underwent robotic prostatectomy were diagnosed with pt3b prostate cancer between January 2012 and July *** these,36 patients(44%)did not receive any radiotherapy during follow-up,compared with 26 patients(31%)who received adjuvant radiotherapy and 21(25%)who received salvage *** median age of our cohort was 64(SD,6.4)*** PSA at presentation was 12.7 pg/*** margins were seen in 36 patients(43%);however,there was no statistically significant difference between treatment groups(p=0.49).the median overall survival was 96%.there was no significant difference between the adjuvant and
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