Targeted histology sampling from atypical small acinar proliferation area detected by repeat transrectal prostate biopsy
| Autor: | A. V. Karman, S. A. Krasny, S. V. Shymanets |
|---|---|
| Jazyk: | ruština |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Prostate biopsy Urology Prostate cancer transrectal ultrasonography Biopsy medicine prostate-specific antigen Radiology Nuclear Medicine and imaging Atypical small acinar proliferation medicine.diagnostic_test business.industry Ultrasound medicine.disease prostate cancer multiparametric magnetic resonance imaging atypical small acinar proliferation Prostate-specific antigen targeted biopsy of the suspicious area Oncology Nephrology Transrectal biopsy Transrectal ultrasonography Medicine Surgery Radiology business Nuclear medicine |
| Zdroj: | Onkourologiâ, Vol 13, Iss 1, Pp 91-100 (2017) |
| ISSN: | 1996-1812 1726-9776 |
| Popis: | О bjective : to define the approach to the management of patients with the detected ASAP area. Materials and methods . In the time period from 2012 through 2015, 494 patients with previously negative biopsy and remaining suspicion of prostate cancer (PCa) were examined. The patients underwent repeat 24-core multifocal prostate biopsy with taking additional tissue samples from suspicious areas detected by multiparametric magnetic resonance imaging and transrectal ultrasound. An isolated ASAP area was found in 127 (25. 7 %) of the 494 examined men. All of them were offered to perform repeat target transrectal biopsy of this area. Targeted transrectal ultrasound guided biopsy of the ASAP area was performed in 56 (44.1 %) of the 127 patients, 53 of them being included in the final analysis. Results. PCa was diagnosed in 14 (26.4 %) of the 53 patients, their mean age being 64.4 ± 6.9 years. The average level of prostate-specific antigen (PSA) in PCa patients was 6.8 ± 3.0 ng/ml, in those with benign lesions – 9.3 ± 6.5 ng/ml; the percentage ratio of free/total PSA with PCa was 16.2 ± 7,8 %, with benign lesions – 23.3 ± 7.7 %; PSA density in PCa patients was 0.14 ± 0.07 ng/ml/cm3, in those with benign lesions – 0.15 ± 0.12 ng/ml/cm3. Therefore, with ASAP area being detected in repeat prostate biopsy samples, it is advisable that targeted extended biopsy of this area be performed. |
| Databáze: | OpenAIRE |
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