Gleason 6 Prostate Cancer: Serious Malignancy or Toothless Lion?

Autopsy studies of men without known prostate cancer suggest that a substantial reservoir of prostate cancer that does not cause symptoms or death exists within the population. The majority of these cancers are Gleason 6 tumors and are frequently detected by prostate-specific antigen-based pros-tate...

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Publicado en:Oncology (08909091) Vol. 28; no. 1; pp. 16 - 23
Autores principales: Lepor, Herbert, Donin, Nicholas M.
Formato: Journal Article
Publicado: MJH Life Sciences Jan2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Gleason 6 Prostate Cancer: Serious Malignancy or Toothless Lion?
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          Lepor, Herbert
          Donin, Nicholas M.
        affil: Department of Urology, NYU Langone Medical Center, New York University School of Medicine, New York, New York; Department of Pharmacology, NYU Langone Medical Center, New York University School of Medicine; Smilow Comprehensive Prostate Cancer Center, NYU Langone Medical Center, New York University School of Medicine
      sug:
        subj:
          Prostatic Neoplasms Prognosis
          Neoplasm Staging
          Prostatic Neoplasms Diagnosis
          Prostatic Neoplasms Therapy
          Cancer Screening
          Prostate-Specific Antigen
          Disease Progression
          Neoplasm Metastasis
          Biopsy
      ab: Autopsy studies of men without known prostate cancer suggest that a substantial reservoir of prostate cancer that does not cause symptoms or death exists within the population. The majority of these cancers are Gleason 6 tumors and are frequently detected by prostate-specific antigen-based pros-tate cancer screening. There is strong evidence from longitudinal cohort studies of men with both treated and untreated Gleason 6 prostate cancer to suggest that Gleason 6 disease, when not associated with higher-grade cancer, virtually never demonstrates the ability to metastasize and thus represents an indolent entity that does not require treatment. Whether Gleason 6 has a propensity to progress to higher-grade cancer is still under investigation. Because the term 'cancer' has historically been used to represent a disease state that leads to progressive illness that is uniformly fatal without treatment, we believe Gleason 6 disease should not be labeled with this term. Our challenge now is to develop the technology to differentiate true Gleason 6 disease from the higher grades of dysplasia with which it can be associated.
      pubtype: Academic Journal
      doctype: Journal Article
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    language: English
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