Some Observations on Carcinoma of the Prostate, with Special Reference to Treatment: (Section of Urology).
It is thought that valuable data should be obtained from a correlation of the clinical and histological features, when dealing with a large number of cases of carcinoma of the prostate. As a result it should be possible to elaborate a system of grouping, each group being characterized by a definite clinical syndrome, pathological features and individual prognosis.To be of value, a record of the end-results of treatment should be on this basis.Malignant disease of the prostate is not infrequently associated with benign hypertrophy, and not infrequently arises in a lateral or median lobe.Cystoscopy may be of definite value in the diagnosis of carcinoma of the prostate.The perineal method of approach is the operation of choice in the small fibrous type of prostate, especially that which is suspected of being malignant.The results so far recorded in this country, in the treatment of carcinoma of the prostate by radium, are not encouraging.As a palliative method of treatment, trans-urethral diathermy should seldom be employed.The most satisfactory palliative method of treatment is a suprapubic cystostomy. Under certain circumstances, a radical perineal excision is justifiable and satisfactory results may be anticipated.
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