By Roger S. Kirby MD FRCS(Urol) FEBU
It is a condensed model of the author's winning Atlas of Prostatic Disease. The emphasis is on a succinct description of prostatic illness in a mostly illustrative layout. The publication covers the motives, analysis and staging of prostate melanoma, benign prostatic hyperplasia and prostatitis. The sections on therapy were greater via the addition of algorithms to summarize the decision-making method.
Men's overall healthiness is now an incredible public well-being factor and prostatic sickness may have an immense effect at the caliber of lifetime of many males. This e-book will offer a handy precis for urologists, basic care physicians and nurse practitioners
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Additional info for An illustrated pocketbook of prostatic diseases
Their presence was recorded and subsequently correlated with survival data by the study statistician. The patterns were arranged into five grades, numbered in order of increasing malignancy as determined by the mortality data. The methodology has stood the test of time. As prostatic adenocarcinoma is morphologically heterogeneous and does not appear to be ‘as bad as its worst part’, but behaves in accordance with its average morphology, the two dominant grades are identified and summated to arrive at a Gleason score (for example, grade 3+grade 2=Gleason score 5) for a given patient 40 AN ILLUSTRATED POCKETBOOK OF PROSTATIC DISEASES Figure 36 The proliferating fraction of the cells in adenocarcinoma is demonstrated by positive nuclear staining to antibody MIBI.
One explanation for this may be that peripheral zone prostatic ducts enter the prostatic urethra at a less oblique angle than do central zone ducts. This may render the peripheral zone ducts more susceptible to intraprostatic reflux of urine during micturition (Figure 25). Studies using intravesical instillation of India ink prior to voiding and subsequent prostatectomy have revealed an intraprostatic finding of carbon particles (Figure 26) and have also demonstrated their subsequent ingestion by macrophages23 (Figure 27).
However, in those patients in whom metastases are the presenting feature, or where the secondary deposit is poorly differentiated, then immunocytochemical detection of PSA expression may be helpful (Figure 39). Figure 39 An adenocarcinoma can be seen infiltrating a lymph node from the obturator fossa with H & E staining (a) and with immunocytochemical preparation to demonstrate prostate-specific antigen (b) 42 AN ILLUSTRATED POCKETBOOK OF PROSTATIC DISEASES Histology of prostatitis Histologically, prostatitis occurs in two major forms: acute—sometimes with abscess formation—and chronic.
An illustrated pocketbook of prostatic diseases by Roger S. Kirby MD FRCS(Urol) FEBU