A review of repeat prostate biopsies and the influence of technique on cancer detection: our experience.
Affiliation
Department of Urology, The Adelaide and Meath Hospital incorporating the National, Children's Hospital, Tallaght, Dublin 24, Ireland.Issue Date
2012-02-01T10:48:43ZMeSH
AgedAged, 80 and over
Biopsy
Humans
Male
Middle Aged
Prostate/*pathology
Prostate-Specific Antigen
Prostatic Neoplasms/*diagnosis/pathology/surgery
Retrospective Studies
*Transurethral Resection of Prostate
Metadata
Show full item recordCitation
Ir J Med Sci. 2009 Sep;178(3):287-90. Epub 2009 Jun 4.Journal
Irish journal of medical scienceDOI
10.1007/s11845-009-0362-0PubMed ID
19495832Abstract
BACKGROUND: Follow-up of patients with an initial negative prostate biopsy, but surrounding whom a suspicion of prostate cancer persists, is difficult. In addition, debate exists as to the optimal technique for repeat prostate biopsy. AIMS: To assess the cancer detection rate on repeat prostate biopsy. METHODS: We reviewed patients who underwent prostate biopsy in our department in 2005 who had >or=1 previous biopsy within the preceding 5 years. Cancer detection rate on repeat biopsy and the influence of the number of biopsy cores were recorded. RESULTS: Cancer detection rate on repeat biopsy was 15.4%, with approximately 60% detected on the first repeat biopsy, but approximately 10% not confirmed until the fourth repeat biopsy. Gleason score was similar regardless of the time of diagnosis (6.1-6.5). Mean interval between first biopsy and cancer diagnosis (range 18-55 months) depended on the number of repeat procedures. There was an association between the number of biopsy cores and cancer detection. CONCLUSIONS: This study supports the practice of increasing the number of cores taken on initial and first repeat biopsy to maximise prostate cancer detection and reduce the overall number of biopsies needed.Language
engISSN
1863-4362 (Electronic)0021-1265 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1007/s11845-009-0362-0