Carcinoma of the prostate - A study of the percentage or cases suitable for the radical operation J. A. C. Colston Journal of the American Medical Association 1943 122: 781-784
Colston commented on these statistics:
"I realize that this percentage of cases suitable for the radical operation is probably higher than would be seen in other clinics, but it can be explained by the fact that many patients are referred to this clinic with a diagnosis of early carcinoma for the express purpose of undergoing the radical operation."Colston was also adamant that the operation was performed in patients "considered suitable for the radical operation with a good prognosis for complete cure." He laid out the following selection criteria for curative radical prostatectomy:
- organ-confined disease (no locally advanced disease) on clinical examination
- no evidence of metastases on radiography
- serum acid and basic phosphatase are within normal limits
- satisfactory general health ("a fair span of life expectancy")
HISTORICAL CONTRIBUTIONS highlight the greatest academic manuscripts from the Brady Urological Institute over the past 100 years. As the Brady Urological Institute approaches its centennial, we will present a HISTORICAL CONTRIBUTION from each of the past 100 years. In the most recent experience, the most highly cited article from each year is selected; older manuscripts were selected based on their perceived impact on the field. We hope you enjoy!