[Importance of radical prostatectomy for patients older than 70 years].
Surgical treatment of prostate cancer (PCa) in patients older than 70 years is controversially discussed. Although the prevalence and presumably also the aggressiveness of PCa increase with age, a survival advantage by radical prostatectomy (RPx) is questionable. The current review will discuss the oncological outcome of RPx in the elderly. Moreover, the pros and cons of different surgical approaches will be evaluated.
Klinik und Poliklinik für Urologie, Universitätsmedizin Mainz, Langenbeckstraße 1, 55131 Mainz, Deutschland. thomasch@uni-mainz.de
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Thüroff
D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D018579:Patient Selection; D015995:Prevalence; D016016:Proportional Hazards Models; D011468:Prostatectomy / Q000401:mortality* / Q000706:statistics & numerical data*; D011471:Prostatic Neoplasms / Q000401:mortality* / Q000601:surgery*; D012307:Risk Factors; D016019:Survival Analysis; D015996:Survival Rate; D016896:Treatment Outcome