Once pelvic lymph node metastasis occurs in prostate cancer patients, bone metastasis and lung metastasis will soon occur. Radical prostatectomy can neither cure nor prolong the life of such stage D patients, so such patients are not suitable for radical prostate cancer surgery. The main contraindications to radical prostatectomy are as follows: 1For patients in clinical stage C, most scholars believe that radical prostatectomy is not suitable. This is mainly because the survival rate after surgery is not higher than that of endocrine and radiotherapy. However, this contraindication is relative. For patients who have symptoms of urinary obstruction, TUR can be performed to relieve the obstruction and cooperate with non-surgical treatment. 2 Once pelvic lymph node metastasis occurs in prostate cancer patients, bone metastasis and lung metastasis will soon occur. Radical prostatectomy can neither cure nor prolong the life of such stage D patients, so such patients are not suitable for radical surgery. 3. Most prostate cancer patients are elderly, often accompanied by serious cardiovascular, respiratory and endocrine system diseases. Radical surgery is very traumatic and has a great impact on patients. It also causes many postoperative complications. It should be used with caution in patients with poor physical condition who cannot tolerate surgery. |
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