The treatment of prostate cancer and the prognostic factor simpacting on survival / 中华泌尿外科杂志

ABSTRACT

Objective To determine the definite effec ti ve therapy for localized prostate cancer. Methods A data -base of 317 patients with prostate cancer treated with different therapies be tween 1969 and 1999 were analyzed.Overall survival and disease specific survival rates for patients with different stage,grade,and regimen were analysed by Kap lan-Meier method.Predictive factors impacted on disease specific survival were also analyzed by using log-rank test and Cox proportional hazards model. Results Overall survival rates at 5-,10- and 15-year were 7 3.1%,51.8% and 35.3%,corresponding disease specific survival rats of 85.1%、72.9 % and 72.9%,respectively.Disease specific survival rate at 10-year was 100.0% i n 36 patients treated with radical prostatectomy,78.0% in 57 patients treated wi th local radiotherapy.Multivariate analysis by Cox model showed that stage ( RR =2.17,CI 1.43～3.28, P =0.0000) and grade( RR =2.54,CI 1.37～4.68, P = 0. 0003)were significantly impacted on disease specific survival. Conc lusions Radical prostatectomy and local radiation provide effective treatment for patient with organ-confined prostate cancer.Adjuvant hormonal the rapy may effect on patient’s survival.Clinical stage and grade of prostate canc er are independent factors impacting on survival significantly.