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Fesseha etal. reported that the finding of a positive apical margin in the absence of positive surgical margin or extra-prostatic extension elsewhere in the prostate has the same prognosis as organ-confined disease.46 Similarly, Ohari etal. identified in their series 23 patients with a positive margin in otherwise organ-confined disease, 15 (67%) of whom had an apical margin positive.16 There was no difference in failure rate in this group when compared to cases with organ-confined disease and negative margins.

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