[Morphology of the clinical stage O of the prostatic carcinoma (incidental carcinoma) (author's transl)]

Abstract

141 prostatic carcinomas of the clinical stage O (incidental carcinoma) have been analyzed morphologically. The tumors were highly differentiated carcinomas in 41.8% of the cases as compared to only 11.8% in the whole material of 989 carcinomas of all clinical stages in our prostatic carcinoma registry. In 42 cases (29.8%) the tumor involved less than 10% of the surgical material examined and here we find especially the highly differentiated carcinomas. In 22 cases (15.6%) the whole material was completely invaded by carcinomas and here the less differentiated carcinoma types are dominating. In 27 cases (19.2%) the carcinoma has spread to the periprostatic tissue and from here to perivascular and perineural lymphatics. Short-term follow-up was available in 117 cases. In only 17 cases no carcinoma therapy was initiated after the histological diagnosis. The morphological analysis shows that the clinical stage O of prostatic carcinoma includes completely different degrees of differentiation and extension. In planning the course of therapy the morphological findings have to be taken into consideration. The morphological analysis shows that the clinical stage O of prostatic carcinoma includes completely different degrees of differentiation and extension. In planning the course of therapy the morphological findings have to be taken into consideration.