1. Incidence and Predicting Factors of Histopathological Features at Robot-Assisted Radical Prostatectomy in the mpMRI Era: Results of a Single Tertiary Referral Center
- Author
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Ernesto Di Mauro, Francesco Di Bello, Gianluigi Califano, Simone Morra, Massimiliano Creta, Giuseppe Celentano, Marco Abate, Agostino Fraia, Gabriele Pezone, Claudio Marino, Simone Cilio, Marco Capece, Roberto La Rocca, Ciro Imbimbo, Nicola Longo, Claudia Colla’ Ruvolo, Di Mauro, Ernesto, Di Bello, Francesco, Califano, Gianluigi, Morra, Simone, Creta, Massimiliano, Celentano, Giuseppe, Abate, Marco, Fraia, Agostino, Pezone, Gabriele, Marino, Claudio, Cilio, Simone, Capece, Marco, La Rocca, Roberto, Imbimbo, Ciro, Longo, Nicola, and Colla' Ruvolo, Claudia
- Subjects
tumor length ,active surveillance ,cribriform variant ,General Medicine ,perineural invasion ,upgrading - Abstract
Background and Objectives: To describe the predictors of cribriform variant status and perineural invasion (PNI) in robot-assisted radical prostatectomy (RARP) histology. To define the rates of upgrading between biopsy specimens and final histology and their possible predictive factors in prostate cancer (PCa) patients undergoing RARP. Material and Methods: Within our institutional database, 265 PCa patients who underwent prostate biopsies and consecutive RARP at our center were enrolled (2018–2022). In the overall population, two independent multivariable logistic regression models (LRMs) predicting the presence of PNI or cribriform variant status at RARP were performed. In low- and intermediate-risk PCa patients according to D’Amico risk classification, three independent multivariable LRMs were fitted to predict upgrading. Results: Of all, 30.9% were low-risk, 18.9% were intermediate-risk and 50.2% were high-risk PCa patients. In the overall population, the rates of the cribriform variant and PNI at RARP were 55.8% and 71.1%, respectively. After multivariable LRMs predicting PNI, total tumor length in biopsy cores (>24 mm [OR: 2.37, p-value = 0.03], relative to 24 mm [OR: 2.47, p = 0.01], relative to
- Published
- 2023
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