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The importance of surgical margins in prostate cancer
Author(s) -
Sooriakumaran Prasanna,
Dev Harveer S.,
Skarecky Douglas,
Ahlering Thomas
Publication year - 2016
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24109
Subject(s) - medicine , prostatectomy , biochemical recurrence , prostate cancer , stage (stratigraphy) , cancer , urology , anxiety , surgery , paleontology , biology , psychiatry
Positive surgical margins (PSM) after radical prostatectomy (RP) are a predictor of biochemical recurrence (BCR), and highly dependent on surgeon, experience, and skill. The length and location PSMs are important, with significant differences between open and robotic RP. The impact of PSMs on BCR remains secondary to other clinico‐pathologic variables: Gleason Score, pathologic stage, and baseline PSA. However, lower PSM rates are associated with reduced use of secondary interventions and patient anxiety of cancer recurrence. J. Surg. Oncol. 2016;113:310–315 . © 2016 Wiley Periodicals, Inc.