The National Survey of Prostate Cancer in the United States by the American College of Surgeons

No AccessJournal of Urology1 May 1982The National Survey of Prostate Cancer in the United States by the American College of Surgeons G.P. Murphy, N. Natarajan, J.E. Pontes, R.L. Schmitz, C.R. Smart, J.D. Schmidt, and C. Mettlin G.P. MurphyG.P. Murphy , N. NatarajanN. Natarajan , J.E. PontesJ.E. Pontes , R.L. SchmitzR.L. Schmitz , C.R. SmartC.R. Smart , J.D. SchmidtJ.D. Schmidt , and C. MettlinC. Mettlin View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)54135-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Abstract: Data from the 1980 long-term and short-term surveys of the American College of Surgeons Commission on Cancer were examined to identify recent trends in the management of prostate cancer. The clinical stage distributionof patients demonstrates that higher proportions of patients were diagnosed as having occult or incidental and advancedstage D disease in the 1979 study as opposed to the 1974 series. In both periods black patients were diagnosed less often as having localized stage cancer and were observed more often to have advanced diseases. Transurethral resection andrectal examination were reported as the most common means of diagnosing prostate cancer. In both series alkalineand serum acid phosphatase studies were performed on the majority of patients, although the use was greater in the 1979series. The use of bone scans increased nearly 3-fold from 1974 to 1979. In the long-term survey (1974 and earlier) hormone therapy was the treatment used most often, either alone or in combination with surgery or radiation. Obviously, this treatment was used in many patients with metastatic disease. In the short-term survey (1979 and earlier) a larger proportion of patients with each stage of disease underwent transurethral resection only and a smaller proportion was observedto receive hormonal therapy. The use of radiation therapy appeared to have increased, particularly for stages B and C disease in the 1979 series. At 5 years from initial diagnosis 77.7 per cent of patients with clinical stage A disease survived compared to 23 per cent with clinical stage D cancer. Throughout the study black patients had a poorer survival rate than white patients. During the study interval (1974 to 1979) the disease was staged clinically and graded histologically by various systems in most patients. The near complete results described in 1980 suggest an excellent geographic application of these important factors in patient management. Over-all, these results suggest changing patterns of care for prostatic cancer in the patients observed from 1974 to 1979. © 1982 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited BySwanson G (2018) Management of Locally Advanced Prostate Cancer: Past, Present, FutureJournal of Urology, VOL. 176, NO. 6S, (S34-S41), Online publication date: 1-Dec-2006.KAMAT A, JACOBSOHN K, TRONCOSO P, SHEN Y, WEN S and BABAIAN R (2018) VALIDATION OF CRITERIA USED TO PREDICT EXTRAPROSTATIC CANCER EXTENSION: A TOOL FOR USE IN SELECTING PATIENTS FOR NERVE SPARING RADICAL PROSTATECTOMYJournal of Urology, VOL. 174, NO. 4 Part 1, (1262-1265), Online publication date: 1-Oct-2005.NAYA Y, SLATON J, TRONCOSO P, OKIHARA K and BABAIAN R (2018) Tumor Length and Location of Cancer on Biopsy Predict for Side Specific Extraprostatic Cancer ExtensionJournal of Urology, VOL. 171, NO. 3, (1093-1097), Online publication date: 1-Mar-2004.ABUZALLOUF S, DAYES I and LUKKA H (2018) BASELINE STAGING OF NEWLY DIAGNOSED PROSTATE CANCER: A SUMMARY OF THE LITERATUREJournal of Urology, VOL. 171, NO. 6 Part 1, (2122-2127), Online publication date: 1-Jun-2004.ETZIONI R, CHA R and COWEN M (2018) SERIAL PROSTATE SPECIFIC ANTIGEN SCREENING FOR PROSTATE CANCER: A COMPUTER MODEL EVALUATES COMPETING STRATEGIESJournal of Urology, VOL. 162, NO. 3 Part 1, (741-748), Online publication date: 1-Sep-1999.Lerner S, Blute M and Zincke H (2018) Extended Experience With Radical Prostatectomy for Clinical Stage T3 Prostate Cancer: Outcome and Contemporary MorbidityJournal of Urology, VOL. 154, NO. 4, (1447-1452), Online publication date: 1-Oct-1995.Babaian R, Sayer J, Podoloff D, Steelhammer L, Bhadkamkar V and Gulfo J (2018) Radioimmunoscintigraphy of Pelvic Lymph Nodes with 111Indium-Labeled Monoclonal Antibody CYT-356Journal of Urology, VOL. 152, NO. 6 Part 1, (1952-1955), Online publication date: 1-Dec-1994.Catalona W, Richie J, Ahmann F, Hudson M, Scardino P, Flanigan R, Dekernion J, Ratliff T, Kavoussi L, Dalkin B, Waters W, Macfarlane M and Southwick P (2018) Comparison of Digital Rectal Examination and Serum Prostate Specific Antigen in the Early Detection of Prostate Cancer: Results of a Multicenter Clinical Trial of 6,630 MenJournal of Urology, VOL. 151, NO. 5, (1283-1290), Online publication date: 1-May-1994.Davis B, DeBrock B, Lierz M and Weigel J (2018) Management of Preexisting Inflatable Penile Prosthesis During Radical Retropubic ProstatectomyJournal of Urology, VOL. 148, NO. 4, (1198-1200), Online publication date: 1-Oct-1992.Brawer M, Chetner M, Beatie J, Buchner D, Vessella R and Lange P (2018) Screening for Prostatic Carcinoma with Prostate Specific AntigenJournal of Urology, VOL. 147, NO. 3 Part 2, (841-845), Online publication date: 1-Mar-1992.Kavoussi L, Myers J and Catalona W (2018) Effect of Temporary Occlusion of Hypogastric Arteries on Blood Loss During Radical Retropubic ProstatectomyJournal of Urology, VOL. 146, NO. 2 Part 1, (362-365), Online publication date: 1-Aug-1991.Walsh P (2018) Editorial CommentJournal of Urology, VOL. 146, NO. 2 Part 1, (365-365), Online publication date: 1-Aug-1991. 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Volume 127Issue 5May 1982Page: 928-934 Advertisement Copyright & Permissions© 1982 by The American Urological Association Education and Research, Inc.MetricsAuthor Information G.P. Murphy More articles by this author N. Natarajan More articles by this author J.E. Pontes More articles by this author R.L. Schmitz More articles by this author C.R. Smart More articles by this author J.D. Schmidt More articles by this author C. Mettlin More articles by this author Expand All Advertisement PDF DownloadLoading ...