One 10-core prostate biopsy is superior to two sets of sextant prostate biopsies
| Autor: | N.T. Schmeller, A. Jungwirth, B. Esterbauer, A. Pytel, O. Dietze, Klaus Fink, G. Hutarew |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Prostate biopsy medicine.diagnostic_test business.industry Prostatectomy Urology medicine.medical_treatment medicine.disease Surgery law.invention Prostate cancer medicine.anatomical_structure Prostate Transrectal biopsy law Biopsy medicine Transrectal ultrasonography Radiology business Sextant |
| Zdroj: | BJU International. 92:385-388 |
| ISSN: | 1464-410X 1464-4096 |
| DOI: | 10.1046/j.1464-410x.2003.04350.x |
| Popis: | OBJECTIVES To compare the efficiency of different transrectal ultrasonography (TRUS)-guided prostate biopsy techniques for detecting prostate cancer. MATERIALS AND METHODS In all, 81 prostates from radical prostatectomy were used and two consecutive sets of sextant biopsies and one 10-core biopsy taken in each specimen. The 10-core biopsy consisted of a sextant biopsy and four cores from the far lateral areas of the prostate. To simulate a transrectal biopsy procedure, all biopsies were taken under TRUS guidance. RESULTS In the first set of sextant biopsies 44 prostate cancers (54%) were detected and in the second set 51 (63%). Combining both sets of sextant biopsies 57 (70%) of the carcinomas were detected. One set of 10-core biopsies detected 66 (82%) of all prostate cancers. Overall, with the 10-core biopsies 16% more prostate tumours were diagnosed than with two consecutive sets of sextant biopsies. To find the same number of prostate cancers as with the 10-core technique, 14% of patients undergoing sextant biopsy would require a second set and 11% at least a third set of biopsies. CONCLUSIONS The 10-core prostate biopsy technique is superior to the commonly used sextant technique and could spare patients unnecessary repeated biopsy. Even after including a second set of sextant biopsies, the total detection rate with these 12 biopsies was inferior to the 10-core technique. |
| Databáze: | OpenAIRE |
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