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E. GRUNDMANN, and W. VAHLENSIECK In recent years tumors of the male genital system have acquired a new scientific importance in many respects: First, epidemiologic studies have revealed a striking increase of prostate carcinoma in northwestern Europe and in the USA; it is now counted among the most frequent malig nant tumors in males. Geographic and ethnic distributions suggest that this tumor, too, may be triggered by exogenous factors of a still unknown nature. Histologic classification of malignant tumors of the prostate and testes has attained a certain finality, and the clinical relevance of the stages is recognized. Diagnosis by histology is now supplemented by aspiration biopsy cytology which offers a ready and reliable diagnostic potential. Its safety even surpasses that of punch biopsy histology and supports the qualification of cytology as a screening method. In the Federal Republic of Germany prostate carcinoma was recently included in the cancer prophylaxis program of the social insurance sys tem: Every man over 45 is entitled to one prophylactic free examination per year. Although the number of patients profiting from this opportu nity is still rather small, the number of patients is steadily growing who, as a result of this prophylactic examination, received medical treatment at an early stage of the disease and with a relatively better prognosis1 . Topical problems of social medicine are discussed in this context, as well as plans and developments of the social health service and of the supporting organizations, the federal societies for cancer campaign.
Sommario
I. Prostate Carcinoma.- Epidemiology of Prostate Carcinoma.- Classification and Grading of Prostatic Carcinoma.- On the Significance of Sex Hormones in Producing Experimental Prostate Tumor in the Rat.- Aspiration Biopsy Cytology of Prostate Carcinoma.- Prognosis of Prostatic Carcinoma.- Estramustine Phosphate Therapy in Carcinoma of the Prostate.- Conservative Treatment of Prostatic Carcinoma.- Palliative Cryotherapy in Inoperable Prostate Carcinoma.- Follow-up of Prostate Carcinoma with Serial Bone Scanning Using Cyclotron-produced 18-Fluorine.- II. Penis Carcinoma.- Epidemiology of Cancer of the Penis.- On the Classification of Penis Carcinoma and Its 10-Year Survival.- Problems of Therapeutic Surgery in Penis Carcinoma.- Treatment of Penis Carcinoma with Interstitially Administered Iridium; Comparison with Radium Therapy.- Endocurietherapy of Penis Cancer.- Chemotherapy of Penis Carcinoma.- III. Carcinoma of the Seminal Vesicles.- Diagnosis and Classification of Carcinoma of the Seminal Vesicles.- Diagnosis and Treatment of Primary Malignant Tumors of the Seminal Vesicles.- IV. Epididymal Tumors.- Tumors of the Epididymis.- V. Testicular Tumors.- Epidemiology and Pathology of Tumors of Human Testis.- The Endocrinology of Testicular Tumors.- Testicular Cancer, Histologic Classification and Staging, Topography of Lymph Node Metastases.- Scrotal Operation or Biopsy of Testicular Tumors - A Fatal Mistake?.- Surgical Treatment of Non-Seminomatous Testes Tumors.- Retroperitoneal Lymphadenectomy: Indications, Complications and Expectations.- The Combined Surgical and Chemotherapeutic Approach to Non-Seminomatous Cancer of the Testicle.- Chemotherapy in Testicular Tumors.- Chemotherapy of Seminoma.- Radiotherapy in the Management of Testicular Tumors.- Special Problems inRadiotherapy.- VI. Subject Index.
