Prostate carcinoma patients treated in the county hospital Čakovec in the past two years

Rak prostate je značajan uzrok pobola i smrtnosti muškaraca srednje i starije dobi. Drugi je po učestalosti dijagnosticiranih zloćudnih tumora u muškaraca u SAD-u i u Europi. Ovim radom želi se prikazati broj liječenih bolesnika u Županijskoj bolnici Čakovec u razdoblju od siječnja 2002. godine do siječnja 2004. godine. Koristila se retrospektivna analiza povijesti bolesti, otpusnih pisama te operacijskih protokola. U tijeku dvije godine učinjeno je 70 transrektalnih biopsija prostate s 12 cilindara, od čega je u 39 bolesnika otkriven karcinom prostate, a u 3 bolesnika u kojih je biopsija bila negativna karcinom prostate je slučajno nađen prilikom TURP-a. Prosječna dob liječenih bila je 72 godine (51-90), uz Gleason score 6,12 te prosjek PSA 32,4 (5,2-159). Učinjeno je 10 radikalnih prostatektomija, 23 subkapsularne orhidektomije, a u 6 bolesnika provedena je kemijska kastracija LH-RH agonistima. Radikalna iradijacija provedena je u 16 bolesnika sa stadijem T2 u kojih je radikalni kirurški zahvat bio kontraindiciran, a u 7 bolesnika s proširenošću osnovne bolesti provedena je palijativna iradijacija. Samo rano otkrivanje bolesti može dovesti do uspješnog liječenja, stoga u svih bolesnika upućenih u Urološku ambulantu u dobi iznad 50 godina treba tražiti i isključiti postojanje neoplastičkog procesa prostate.Prostate carcinoma is a significant cause of morbidity and mortality in men of middle and older age. It is second diagnosed malignant tumour among men in the USA and in Europe. Hereby, we would like to present the number of treated patients, as well as therapeutic procedures, at our hospital between January 2002 and January 2004. We used the retrospective analysis of patients\u27 histories, discharge letters and operation protocols. During that period 70 transrectal biopsies (with 12 cylinders) were made, finding prostate carcinomas in 39 patients. Three patients with negative biopsies were diagnosed by chance during TURP. The average age of treated patients was 72 years (51-90), with Gleason score 6, 12 and PSA average 32, 4 (5, 2-159). Ten radical prostatectomies, 23 subcapsular orchidectomies and 6 chemical castrations by LH-RH agonists were made. Further palliative irradiation was performed in 7 patients with bone metastases and radical irradiation in 16 patients who were unable to undergo the surgery. Only early detection of disease can lead to successful treatment, therefore we should search for prostate tumour in all male patients older than 50 years who come to see urologist