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  • Gottfried, H.W.  (2)
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  • 1
    Online Resource
    Online Resource
    Wiley ; 1997
    In:  British Journal of Urology Vol. 79, No. 3 ( 1997-03), p. 385-388
    In: British Journal of Urology, Wiley, Vol. 79, No. 3 ( 1997-03), p. 385-388
    Abstract: Objective  To compare quantitatively the reduction of volume of benign prostatic hyperplasia (BPH) achieved by laser therapy in dogs and men. Patients, materials and methods Twelve mongrels, with a mean prostatic volume of 33.4 mL, underwent transurethral laser treatment using an Nd:YAG laser with an Ultraline }}rm fibre at 60 W power setting. The reduction in prostatic volume was assessed quantitatively 3 months after treatment using stereological methods. Forty patients (mean age 70.2 years, range 51–84) with symptomatic BPH (pre‐operative mean prostate volume 46.3 mL) were treated under similar operative conditions with the same laser, power and fibre system. Their urinary performance was assessed before and 6 months after treatment using urinary flow rates, residual volume and a symptom score, and their prostatic volume and necrosis assessed using transrectal ultrasonography. Results After laser treatment, the mean reduction in the dog prostate volume was 50% and in the patients was only 21%. The different impact was probably caused by anatomical differences between the human and dog prostate; the human prostate consists mainly of stromal tissue and the canine prostate of glandular epithelium. Conclusions The canine model gives only an approximate guide to the extent of tissue destruction that laser treatment can achieve in men with BPH. Furthermore, tissue differences between men may also affect the response to laser treatment.
    Type of Medium: Online Resource
    ISSN: 0007-1331
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 1997
    detail.hit.zdb_id: 2986-5
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  • 2
    Online Resource
    Online Resource
    Wiley ; 2002
    In:  BJU International Vol. 89, No. 3 ( 2002-02), p. 310-316
    In: BJU International, Wiley, Vol. 89, No. 3 ( 2002-02), p. 310-316
    Abstract: Objective To identify chromosomal regions important for progression in clinically organ‐confined prostate cancer, as the genetic changes underlying the development and progression of prostate cancer are poorly understood. Materials and methods Comparative genomic hybridization (CGH) was used to search for DNA sequence copy‐number changes in a series of 50 primary organ‐confined prostate adenocarcinomas (pT2N0) removed by radical prostatectomy. Results CGH analysis indicated that 23 (46%) of the primary prostate adenocarcinomas showed chromosome alterations. The percentage of tumours with losses (38%) was higher than with gains (28%). Losses of 13q (24%), 8p (18%), 6q (10%), 16q (8%), 18q (6%) and 5q (6%) and gains of 17q (12%), 20q (12%), 9q (10%), 17p (8%) and 8q (6%) were the most frequent alterations. Amplifications were found at 8q24‐qter. Minimal overlapping regions of loss, indicative of the presence of tumour‐suppressor genes, were mapped to 13q21.1‐q21.3 and 8p21.2, and minimal overlapping regions of gain, indicative of the presence of oncogenes, were found at 9q34.4‐qter, 17q25‐qter and 20q13.3‐qter. There was a significant association between Gleason score and losses and gains ( P  = 0.003), and an association between chromosomal imbalance and high histological grade ( P  = 0.008). Conclusion These results suggest that losses or gains of DNA in these regions are important for prostate cancer progression, and document the spectrum of chromosomal alterations in stage pT2N0 of clinically organ‐confined prostate cancer.
    Type of Medium: Online Resource
    ISSN: 1464-4096 , 1464-410X
    Language: English
    Publisher: Wiley
    Publication Date: 2002
    detail.hit.zdb_id: 1462191-5
    detail.hit.zdb_id: 2019983-1
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