What is the ideal core number for ultrasound-guided prostate biopsy?

Registro completo de metadados
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorChambó, Renato Caretta-
Autor(es): dc.creatorTsuji, Fábio Hissachi-
Autor(es): dc.creatorLima, Flávio de Oliveira-
Autor(es): dc.creatorYamamoto, Hamilto Akihissa-
Autor(es): dc.creatorJesus, Carlos Márcio Nóbrega de-
Data de aceite: dc.date.accessioned2021-03-10T22:50:44Z-
Data de disponibilização: dc.date.available2021-03-10T22:50:44Z-
Data de envio: dc.date.issued2016-07-07-
Data de envio: dc.date.issued2016-07-07-
Data de envio: dc.date.issued2014-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.4111/kju.2014.55.11.725-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/141086-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/141086-
Descrição: dc.descriptionPurpose: We evaluated the utility of 10-, 12-, and 16-core prostate biopsies for detecting prostate cancer (PCa) and correlated the results with prostate-specific antigen (PSA) levels, prostate volumes, Gleason scores, and detection rates of high-grade prostatic intraepithelial neoplasia (HGPIN) and atypical small acinar proliferation (ASAP). Materials and Methods: A prospective controlled study was conducted in 354 consecutive patients with various indications for prostate biopsy. Sixteen-core biopsy specimens were obtained from 351 patients. The first 10-core biopsy specimens were obtained bilaterally from the base, middle third, apex, medial, and latero-lateral regions. Afterward, six additional punctures were performed bilaterally in the areas more lateral to the base, middle third, and apex regions, yielding a total of 16-core biopsy specimens. The detection rate of carcinoma in the initial 10-core specimens was compared with that in the 12- and 16-core specimens. Results: No significant differences in the cancer detection rate were found between the three biopsy protocols. PCa was found in 102 patients (29.06%) using the 10-core protocol, in 99 patients (28.21%) using the 12-core protocol, and in 107 patients (30.48%) using the 16-core protocol (p=0.798). The 10-, 12-, and 16-core protocols were compared with stratified PSA levels, stratified prostate volumes, Gleason scores, and detection rates of HGPIN and ASAP; no significant differences were found. Conclusions: Cancer positivity with the 10-core protocol was not significantly different from that with the 12- and 16-core protocols, which indicates that the 10-core protocol is acceptable for performing a first biopsy.-
Formato: dc.format725-731-
Idioma: dc.languageen-
Relação: dc.relationKorean Journal of Urology-
Relação: dc.relation0,558-
Direitos: dc.rightsclosedAccess-
Palavras-chave: dc.subjectNeedle biopsy-
Palavras-chave: dc.subjectProstate-
Palavras-chave: dc.subjectProstatic neoplasms-
Título: dc.titleWhat is the ideal core number for ultrasound-guided prostate biopsy?-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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