Abstract
Systematic random rectal ultrasound directed mapbiopsy of the prostate was performed in 77 RDE (rectal digital examination) positive and 25 RDE negative cases, if applicable. Hypoechoic areas were found in 30% of RDE positive and in 16% of RDE negative cases. The score for carcinoma in the hypoechoic areas was 6.5% in RDE positive and 0% in RDE negative cases, whereas systematic “map” biopsy detected 62% carcinomas in RDE positive, and 16% carcinomas in RDE negative patients. The probability of positive diagnosis of prostate carcinoma increased in parallel with the number of biopsy samples/case. The importance of systematic map biopsy is emphasized.
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Resnick MI: Transrectal ultrasound guided versus digitally directed prostatic biopsy: A comparative study. J Urol 139:754–757, 1988.
Hodge KK, McNeal JE, Stanley TA: Ultrasound guided transrectal core biopsies of the palpably abnormal prostate. J Urol 142:66–70, 1989.
Lippman HR, Ghiatas AA, Sarosdy ME: Systematic transrectal ultrasound guided prostate biopsy after negativ digitally directed prostate biopsy. J Urol 147:827–829, 1992.
Terris MK, McNeal JE, Stamey TA: Detection of clinically significant prostate cancer by transrectal ultrasound guided systematic biopsies. J Urol148:829–832, 1992.
Irwin MB, Trapasso JG, Stamey TA: Identification of insignificant prostate cancers. Analysis of preoperative parameters. Urology 44:862–868, 1994.
Devonec M, Fendler JP, Monsallier M, et al The significance of the prostatic hypoechoic area: results in 226 ultrasonically guided prostatic biopsies. J Urol 143:316–319, 1990.
Hodge KK, McNeal JE, Terris MK, et al: Random systematic versus directed ultrasound guided transrectal core biopsies of the prostate. J Urol 142:71–75, 1989.
Hammerer P, Huland H, Cooner WH: Systematic sextant biopsies in 651 patients reffered for prostate evaluation. J Urol 151:99–104, 1994.
Vallancien G, Prapotnich D, Veillon B, et al: Systematic prostatic biopsies in 100 men with no suspicion of cancer on digital rectal examination. J Urol 146:1308–1312, 1991.
Gasman D, Abbou CC: Biopsies prostatiques: technique, intéréts et complitatious. Entretiens de Bichat Urologie. Abstract. 1995.
Jewett HJ: Significance of the palpable prostatique nodule. JAMA 160:838–839, 1956.
Lee F, Trop-Pedersen S, Littrup PJ, et al: Hypoechoic lesions of the prostate: clinical relevance of tumor size, digital rectal examination, and prostate specific antigen. Radiology 170:29–32, 1989.
Holm HH, Gammelgaard J: Ultrasound guided precise needle placement in the prostate and seminal vesicles. J Urol 125:385–387, 1981.
Cooner WH, Mosley BR, Rutherford JrCL, et al: Prostate cancer detection in a clinical urological practice by ultrasonography, digital rectal examination and prostate specific antigen. J Urol 143:1146–1154, 1990.
Topr-Pedersen S, Lee F, Littrup PJ, et al: Transrectal biopsy of the prostage guided with transrectal US: Longitudinal and multiplanar scanning. Radiology 170:23–27, 1989.
Coplen DE, Andriole GL, Yuan JJJ et al: The ablity of systematic transrectal ultrasound guided biopsy to detect prostate cancer in men with the clinical diagnosis of benign prostatic hyperplasia. J Urol 146:75–77, 1991.
Vashi AR, Wojno KJ, Henricks W, et al: Determination of the reflex range and appropriate cutpoints for percent free PSA prostate specific antigen in 413 men referred for prostatic evaluation using the AxSYM system. Urology 49:19–27, 1997.
William J, Catalona, et al: Evaluation of percentage of free serum prostatic specific antigen to improve specificity of prostate cancer screening. JAMA 274:1214–1220, 1995.
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Szabó, J., Hegedûs, G., Bartók, K. et al. Improving diagnostic accuracy of prostate carcinoma by systematic random map-biopsy. Pathol. Oncol. Res. 6, 111–113 (2000). https://doi.org/10.1007/BF03032359
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DOI: https://doi.org/10.1007/BF03032359