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Volume 8, Issue 3 (May 2006) 8, 357–359; 10.1111/j.1745-7262.2006.00129.x

Synchronous primary carcinomas of the bladder and prostate

Sheng-Hui Lee, Phei-Lang Chang, Shao-Ming Chen, Guang-Huan Sun, Chien-Lun Chen, Biing-Yir Shen, Ya-Shen Wu and Ke-Hung Tsui

1.Division of Geriatric Urology, Department of Surgery, Chang Gung Memorial Hospital, Kweishan, Taoyuan 333, Taiwan, China
2.Chang Gung Institute of Technology, Chang Gung University, Kweishan, Taoyuan 333, Taiwan, China
3.Chang Gung Bioinformatics Center, Kweishan, Taoyuan 333, Taiwan, China
4.Department of Urology, Taipei City Hospital, Heping Branch, Taipei 100, Taiwan, China
5.Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan, China

Correspondence: Dr Ke-Hung Tsui, Division of Geriatric Urology, Department of Surgery, Chang Gung Memorial Hospital, School of Medicine, Chang Gung University, 5 Fu-Shin Street, Kweishan, Taoyuan 333, Taiwan, China. Fax: +886-2-2735-8775. E-mail: khtsui@yahoo.com

Received 17 March 2005; Accepted 23 December 2005


Aim: To determine the incidence of adenocarcinoma of the prostate for patients undergoing radical cystoprostatectomy for bladder cancer in Taiwan.

Methods: A total of 248 patients in Taiwan who were histologically confirmed for transitional cell carcinoma of the bladder underwent cystoprostatectomy. Histopathologic evaluation of the prostate specimens sectioned at 5 mm intervals was performed.

Results: Of the 248 patients, 10 (4.03%) were found to have prostate cancer. Of the 10 cases of unsuspected prostate cancer, eight proved to be at stage T1 or T2, and two at T3 and T4, respectively. This rate of incidentally found prostate cancer amongst our bladder cancer patients appeared to be lower than that found in bladder cancer patients in similar studies in USA.

Conclusion: Although the incidence of incidental prostate cancer in patients in Taiwan with bladder cancer is not high compared with that in Western countries, we suggest that digital rectal examination and prostate-specific antigen (PSA) are important screening tools for men with bladder cancer, especially for those aged 60 years and older in Taiwan.

Keywords: radical cystoprostatectomy, prostate cancer, transitional cell carcinoma

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