Importance of Additional “Extreme” Anterior Apical Needle Biopsies in the Initial Detection of Prostate Cancer

Moussa, Ayman S.; Meshref, Alaa; Schoenfield, Lynn; Masoud, Amr; Abdelrahman, Sherif Fathy; Li, Jianbo; Flazoura, Sara; Magi‐Galluzzi, Cristina; Fergany, Amr; Fareed, Khaled; Jones, J. Stephen

doi:10.1016/j.urology.2009.11.008

Cited by 93 publications

(63 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In mapping of the cancer distribution in RP specimens, nonpalpable prostate cancers were frequently found in the anterior half of the gland at the apex to mid-prostate levels (15). Moreover, several studies demonstrated that apical anterior cores were useful for cancer detection (16)(17)(18). In the present study, cancer was frequently detected in the apex to middle sites.…”

Section: Discussionsupporting

confidence: 52%

Impact of extended prostate biopsy including apical anterior region for cancer detection and prediction of surgical margin status for radical prostatectomy

Hashimoto

Shinkai

Tanaka

et al. 2017

Japanese Journal of Clinical Oncology

View full text Add to dashboard Cite

Objectives: We investigated diagnostic yield of initial biopsy and repeated biopsy including apical cores. Methods: We investigated 573 consecutive men with PSA of ≤20 ng/ml who underwent prostate biopsy between 2004 and 2013. The initial 14-core biopsy consisted of the sextant type, lateral sites at the base and middle, lateral apices (la) at anterior horn sites, and apical anterior sites (aa). The repeated 18-core biopsy consisted of the initial 14-core biopsy with four transition zone (TZ) sites at the base (tzb) and middle (tzm). Results: Prostate cancer was diagnosed in 178 (38.9%) of 458 men with the initial 14-core biopsy, and 44 (38.3%) of 115 men with the repeated 18-core biopsy. In the initial biopsy setting, the unique cancer detection rate was high in apical sites (apex, la, and aa: 6.2%, 6.2% and 5.1%, respectively). In the repeated setting, it was high in the TZ site in addition to the apical site (apex, la, aa, tzm, and tzb: 6.8%, 6.8%, 11.4%, 9.1% and 11.4%, respectively). The positive SM rate at the apex was higher in patients whose cancer was detected only in sites other than the sextant region than for those in the sextant region (36.4% vs. 14.8%, P = 0.037). Conclusions: The initial 14-core and the repeated 18-core biopsy scheme including apical anterior cores are feasible for prostate cancer detection. We propose that apical biopsy cores can be used to predict not only the existence of cancer but also surgical margin status at the apex.

show abstract

Section: Discussionsupporting

confidence: 52%

Impact of extended prostate biopsy including apical anterior region for cancer detection and prediction of surgical margin status for radical prostatectomy

Hashimoto

Shinkai

Tanaka

et al. 2017

Japanese Journal of Clinical Oncology

View full text Add to dashboard Cite

show abstract

“…This limits effective sampling of the anterior gland. In a modification of technique described for apical anterior horn biopsy (17,18), a sagittal plane of TRUS imaging and biopsy guidance was used. The endorectal ultrasound probe was positioned in the sagittal plane, such that the needle guide was positioned anteriorly with respect to the probe (Fig.…”

Section: Anterior Trus Biopsy Techniquementioning

confidence: 99%

“…Limited literature is available regarding the technique for TRUS-guided biopsy of the anterior apex of the prostate (17,18). The goal of the current study is to evaluate the effectiveness of MRI-directed cognitive fusion TRUS-guided anterior prostate biopsy for diagnosis of anterior prostate tumors and to illustrate this technique.…”

mentioning

confidence: 99%

MRI-directed cognitive fusion-guided biopsy of the anterior prostate tumors

Murphy¹,

NiMhurchu²,

Gibney³

et al. 2017

Diagn Interv Radiol

View full text Add to dashboard Cite

“…However, repeat TRUS guided biopsies may still miss an apical or anterior lobe tumor. [32,33] The technique of saturation biopsies have been reported by Barzell et al [34] but its usefulness remains controversial. Due to increased number of cores (≥24), the percentage of insignificant cancer detection rate could increase as well as biopsy related pain, bleeding, and/or infectious complication rates.…”

Section: Use Of Mpmri In Biopsy Naive or Priorly Negative Biopsy Patimentioning

confidence: 99%

Multiparametric magnetic resonance imaging: Overview of the technique, clinical applications in prostate biopsy and future directions

Demirel

Davis

2018

Turkish Journal of Urology

View full text Add to dashboard Cite

Multiparametric magnetic resonance imaging (mpMRI) has managed to change the paradigms on prostate cancer detection and risk classification. The most clear-cut indication of mpMRI in guidelines is the patients with a history of negative biopsy/increasing prostate-specific antigen (PSA), and presence of additional findings supporting its use in non biopsied patients and active surveillance. mpMRI complements standard clinical exam, PSA measurements, and systematic biopsy, and will miss some tumors that lack enough size or change in tissue density. Use of mpMRI is likely to increase, and further developments in the technique will be important for safe adoption of focal therapy concepts. Here we present a brief summary about mpMRI and its use in detection, risk classification and follow-up of prostate cancer.

show abstract

Importance of Additional “Extreme” Anterior Apical Needle Biopsies in the Initial Detection of Prostate Cancer

Cited by 93 publications

References 28 publications

Impact of extended prostate biopsy including apical anterior region for cancer detection and prediction of surgical margin status for radical prostatectomy

Impact of extended prostate biopsy including apical anterior region for cancer detection and prediction of surgical margin status for radical prostatectomy

MRI-directed cognitive fusion-guided biopsy of the anterior prostate tumors

Multiparametric magnetic resonance imaging: Overview of the technique, clinical applications in prostate biopsy and future directions

Contact Info

Product

Resources

About