National Prostate Cancer Registry 2010 in Spain

Diagnostic usefulness of the cytological study of the transport buffer in transrectal prostate core biopsies

“…2 Epidemiological data on prostate cancer have shown in recent decades that the effect of serum PSA determination in common practice translates into a sharp increase in the diagnosis of this neoplasm 15 and in the discovery of a large number of potentially curable cases, the numbers of which increased from 20---30% in the pre-PSA era to 70---80% at present. 3 The arrival of population checks resulted in a decrease in mortality rates, but did not achieve acceptance all around the world due to the risk of overtreatment in those cases with clinically insignificant disease.…”

“…2 This has led in the last two decades to the implementation of strategies for the early detection of this malignancy which lead to the discovery of an increasing number of low-grade, low-volume cases which are potentially curable. 3 Although fine-needle aspiration cytology (FNAC) was the initial diagnostic approach, and it is still used at some institutions, 4---7 transrectal needle biopsy (NB) has gained general acceptance all over the world and is the method of choice for PAC detection in patients with a suspicious digital examination and/or high PSA levels (cut, 4.0 ng/ml).…”

Obligatory information that a patient diagnosed of prostate cancer and candidate for an active surveillance protocol must know

“…3 One of the strategies attempting to counteract such a phenomenon is active surveillance (AS), defined as a wait-and-see approach toward potentially curable low/intermediate-risk PCa, which can be proposed to any patient with a life expectancy >10 years and which involves rigorous clinicopathological control (rebiopsies) until objective progression criteria support the active treatment of that PCa with a curative intent (unlike monitoring until palliative care for the metastatic disease). AS, theoretically feasible at any hospital, is now accepted in the European Clinical Guidelines with a level of evidence of 2a.…”

Early 3‐month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial

“…This is because 90% of the cases are diagnosed in the localized stage, meaning that the cancer has not yet spread outside the prostate gland, which would explain the high survival rate. 3 Radical prostatectomy (RP) has become the "gold standard" to treat prostate cancer and seems to be the best method for cancer control in the long term. However, this procedure is not exempt from morbidity, since urinary incontinence affects patient's quality of life.…”

“…According to the latest data, prostate cancer currently has a high cure rate, where the relative survival at 5 years is almost 100%. This is because 90% of the cases are diagnosed in the localized stage, meaning that the cancer has not yet spread outside the prostate gland, which would explain the high survival rate 3 …”