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Coverage for Extracapsular Disease
• Radical prostatectomy: path review series
– 121/371(33%) ECE +ve
• 60:40 (Unilat v Bilat)
– Median ECE distance =
2.4 mm
• Range 0.05-7 mm
• 90% of cases ≤ 5.0 mm
– Risk factors: PSA ≥ 10 or Gl ≥ 7
• Either factor: 21% ECE ≥ 2 mm & 5% ≥ 4 mm
• Both factors: 49% ECE ≥ 2 mm & 21% ≥ 4 mm
– NB: All post-lat along NV bundle
Chao et al J Cancer 2003