Value of repeat ultrasonic prostatic biopsies following negative digitally directed biopsy

Autor: Pierre I., Karakiewicz, Michel, Bazinet, Alaa W., Meshref, Armen G., Aprikian, Claude, Trudel, Samuel, Aronson, Mahmoud, Nachabé, François, Péloquin, Michelle S., Goyal, Louis R., Bégin, Mostafa M., Elhilali
Rok vydání: 1997
Zdroj: The Canadian journal of urology. 4(1)
ISSN: 1195-9479
Popis: OBJECTIVE: The objective of this study was to determine the benefit of repeat transrectal ultrasound-guided prostatic biopsy (TRUSBx) among men with prior benign histology on digitally guided biopsy despite suspicious digital rectal examination (DRE) findings. PATIENTS AND METHODS: From January 1, 1990 to May 30, 1993, we evaluated 130 consecutive men, referred to us with benign pathology on digitally-guided biopsy and DRE suspicious of cancer. All patients underwent systematic and directed TRUSBx. RESULTS: TRUSBx detected previously undiagnosed malignancy in 67 cases (51%). CONCLUSION: It is mandatory to reevaluate by TRUSBx, all patients with a palpable abnormality on DRE and a prior benign pathology on digitally-guided biopsy, as the likelihood of finding cancer is elevated.
Databáze: OpenAIRE