Use of Three Additional Mid Biopsies to Improve Local Assessment of Prostate Cancer in Patients with One Positive Sextant Biopsy

Salomon, Laurent; Colombel, Marc; Patard, J.J.; Bellot, J; Chopin, Dominique; Cc, Abbou

doi:10.1159/000019747

Cited by 13 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Their data suggest the multisite–directed eleven–core biopsy scheme to be superior to other schemes. These conclusions are supported by other investigations [23, 24, 25, 26, 27, 28, 29, 30]. Stamey [31]emphasized the importance of taking lateral biopsies.…”

Section: Grey–scale Ultrasound Without and With Computer Assistancesupporting

confidence: 79%

Transrectal Ultrasound in the Diagnosis of Prostate Cancer: State of the Art and Perspectives

et al. 2001

View full text Add to dashboard Cite

Section: Grey–scale Ultrasound Without and With Computer Assistancesupporting

confidence: 79%

Transrectal Ultrasound in the Diagnosis of Prostate Cancer: State of the Art and Perspectives

et al. 2001

View full text Add to dashboard Cite

“…TRUSguided sextant needle biopsies detect many cancers missed by digitally guided biopsies, but even after a negative biopsy with a suspicious DRE and PSA value, repeating the biopsy and changing the needle position are important points to improve the success rate. Even if sextant biopsies give information about tumor location, many peripheral or transitional zone tumors can be missed by sextant biopsies, because prostate cancer is heterogeneous and multifocal, and sextant biopsies do not reflect all the tumor location [7]. A single positive biopsy is not predictive of a small tumor and is also not a predictor of less advanced pathological stage and favorable outcome after RP.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Gleason Scores from Sextant Prostate Biopsies and Radical Prostatectomy Specimens

Altay

Kefi²,

Nazlı³

et al. 2001

Urol Int

View full text Add to dashboard Cite

Objectives: We compared the Gleason scores obtained from sextant prostate biopsy and radical prostatectomy (RP) specimens in patients with localized prostate cancer. Patients and Methods: Sixty-one patients having a clinical diagnosis of localized prostate cancer underwent needle biopsy under transrectal ultrasonography (TRUS) and RP. Grading and staging were assigned based on Gleason scores and the TNM system, respectively. Results: Mean patient age was 65.5 ± 13.43 years and mean PSA level was 14.69 ± 3.95. Mean Gleason score for prostate biopsy and RP specimen were 5.85 ± 0.7 and 6.34 ± 1.44, respectively. With respect to clinical stage, there were 20 patients in stage 1 and 41 patients in stage 2 prostate cancer. Comparing the Gleason scores, the biopsy score was lower in 26 (42.26%) and higher than RP specimens in 7 (11.84%) cases, and there was agreement between the biopsy and RP specimens in 28 (45.9%) patients. The difference between the two Gleason scores was ± 1 for 18 patients (29.5%) and ± 2 or more for 17 patients (27.86%). Conclusion: In our study, high Gleason score biopsies with elevated PSA level (>10 ng/ml) were risk factors for extraprostatic extension, and we demonstrated that Gleason scores were significantly correlated with seminal vesicle and lymph node invasion (p < 0.05). The Gleason scores of biopsy and RP specimens agreed with 45.9% of TRUS-guided sextant prostate biopsies, and this ratio was 91.1% in moderately differentiated tumors

show abstract

“…The incidence of minor hematuria and rectal bleeding remained the same. Different biopsy protocols, including 8 to 11 cores, are summarized in Figures 1C-H. 4,14,[23][24][25][26][27] Most of these combine a variable number of cores from the classic sextant and lateral sextant protocols. 14,24-26 Some also include cores from other regions of the prostate: i.e., midline biopsies, 23,27 transitional zone biopsies, 4 or far lateral biopsies.…”

Section: Review Of the Literature: Development And Current Practice Omentioning

confidence: 99%

Transrectal Ultrasound-Guided Biopsy of the Prostate: Development of the Procedure, Current Clinical Practice, and Introduction of Self-Embedding as a New Way of Processing Biopsy Cores

Stock

Hruza²,

Cresswell³

et al. 2008

Journal of Endourology

View full text Add to dashboard Cite

show abstract

Use of Three Additional Mid Biopsies to Improve Local Assessment of Prostate Cancer in Patients with One Positive Sextant Biopsy

Cited by 13 publications

References 22 publications

Transrectal Ultrasound in the Diagnosis of Prostate Cancer: State of the Art and Perspectives

Transrectal Ultrasound in the Diagnosis of Prostate Cancer: State of the Art and Perspectives

Comparison of Gleason Scores from Sextant Prostate Biopsies and Radical Prostatectomy Specimens

Transrectal Ultrasound-Guided Biopsy of the Prostate: Development of the Procedure, Current Clinical Practice, and Introduction of Self-Embedding as a New Way of Processing Biopsy Cores

Contact Info

Product

Resources

About