Active Control of Prostatic Cancer With Criteria of Latence. Impact on Specific 10 Years Survival.
Inclusion Criteria:
- patient with a latent prostatic cancer
- aged less 75 years old,
- life expectation higher than 10 years
- Clinic statue T1c or T2a
- with a seric PSA (prostatic specific antigen)smaller than 10ng/ml
- more than 10 biopsy cores samples
- patient with less than 3 cores samples with tumor and none care sample with more than
3mm of tumor
- Gleason score inferior at 7
- patient's agreement about project and a second biopsy which will include definitive
patient: realized 3 months after the first and having: 14 biopsy cores samples (10
like previously and 4 more specific: taking around the positives initials biopsies),
less than 3 cores samples with tumor, ,any cores samples with more than 3mm of tumor,
a Gleason score superior at 7.
Exclusion Criteria:
- patient aged 75 years old and more
- no patient's agreement
- lack of understanding of plan
- patient with guardianship
- life expectation smaller than 10 years
- patient with an other cancer less than 5 years
- Local clinical statue greater than T2a
- seric PSA higher than 10ng/ml
- less than 10 biopsies
- more than 2 positives biopsies during the first intervention
- 3 cores samples with more than 3mm of tumor
- 4th grade on the biopsies
- patient's refuse to realize the second biopsies
- patient who ask a treatment after the first medical examination
- patient with less 4 special biopsies around the previously initial cores samples or
more than 2 positives biopsies or biopsies with more than 3mm of tumor or patient
having a 4 grade on biopsies, during the second medical examination.