[On tihe diagnosis, treatment and late results in prostatic carcinoma]. / Asupra diagnosticului, tratamentului si rezultatelor tardive în neoplasmul de prostata.

209 cases of prostatic carcinoma out of which 112 with coexistance adenoma-cancer and 97 true carcinomas are analysed. The diagnosis was determined by histological examination of adenomectomy or transrectal or perineal needle biopsy specimens. Out of the 112 adenoma-cancer cases in 65 the existence of a single or multiple nodule, having a more firm consistency, was noticed and in 47 the rendering evident of the malignant lesion was a histological surprise of the adenomectomy specimens. The age distribution is the following: 42.7% between the age of 71 and 80, 31.5% between 61 and 70, 13% between 51 and 60, 70% between 45 and 50, 5.8% above 80. The treatments employed were: 112 adenomectomies, 50 removals of the pelviprostatic capsular ligament associated with bilateral castration and hormonotherapy and 47 estrogen hormonotherapies. The importance of the histological examination of the surgical specimens (in the case of adenomectomy) and biopsy for specifying the malignant nature of the prostatic alterations is emphasized.