Prostate Cancer
Conditions
Keywords
prostate cancer, lymph node, micrometastasis
Brief summary
The purpose of this study is to set up a model for detecting micrometastases in Lymph nodes of patients with prostate cancer by quantitative polymerase chain reaction and its impact on progression-free survival.
Interventions
tumor marker detection in lymph nodes by quantitative PCR
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed prostate cancer * Locally operable tumor * Negative bone scan (obligatory if Gleason Score \> 7 or PSA \> 20ng/ml * Karnofsky ≥ 80% * Age 18 - 75 years * Informed consent in written form * Sufficient hematologic, coagulatory and renal function * Compliant patient and geographic precondition for adequate follow-up given
Exclusion criteria
* Manifest secondary tumor * Organ metastases on CT-scan /MRI or in Histology * Myocardial infarction or stroke within the last 6 months * Severe cardiovascular (Grade III - IV according to NYHA), pulmonary (pO2 \< 60 mmHg), renal, hepatic oder hematopoetic impairment * Severe active or chronic infection (z.B. pos. HIV-Antibody-Test, HBs-Ag-detected in Serum and/ or chronic Hepatitis) * Severe psychiatric disease * Previous chemotherapy * Previous pelvine radiotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Biochemical recurrence free survival | 2 years | Influence of molecularbiologic micrometastases in lymph nodes on biochemical recurrence free survival in comparison with patients who have histopathologic macrometastases or no evidence of lymph node metastases |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of molecular detected lymph node micrometastases according to their topography | 2 years | Description of the anatomic distribution of molecularbiologic lymph node micrometastases in prostate cancer patients treated with radical prostatectomy and extended lymphadenectomy. The frequency of molecular detected lymph node micrometastases according to their anatomic distribution at the obturatoric fossa, external iliac, internal iliac and common iliac arteries´ region will be reported. |
Countries
Germany