Journals / Journal of Urological Surgery / 2020 / Cilt: 7 - Sayı: 2

Significance of Core Length in Current Transrectal Ultrasound-guided Prostate Biopsy in Patients with Normal Digital Rectal Examination

Normal Rektal Muayenesi Olan Hastalarda Transrektal Ultrason Eşliğinde Prostat Biyopsisindeki Kor Uzunluğunun Önemi

Pages
83–87
Publication Date
2022-10-18
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

Older age, PSA, mean core length, number of cores and reduced prostate volume were found to be associated withCDR (p

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Objective & Hypothesis:Objective: To reveal the significance of core length in current primary transrectal ultrasound-guided prostate biopsy (TRUS-PB) in patients withnormal digital rectal examination.Materials and Methods: Data of 3520 patients, who received TRUS-PB between March 2002 and April 2015, were reviewed retrospectively.
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Key Findings & Data:A totalof 1627 primary biopsy patients with a normal digital examination and with no lesion in TRUS were included in the study.
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Conclusion & Impact:Older age, PSA, mean core length, number of cores and reduced prostate volume were found to be associated withCDR (p
🔬Design:Review & Systematic Survey
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: To reveal the significance of core length in current primary transrectal ultrasound-guided prostate biopsy (TRUS-PB) in patients withnormal digital rectal examination.Materials and Methods: Data of 3520 patients, who received TRUS-PB between March 2002 and April 2015, were reviewed retrospectively. A totalof 1627 primary biopsy patients with a normal digital examination and with no lesion in TRUS were included in the study. The mean core length wasfound by dividing the sum of the total core lengths by the core number. The relationships of cancer detection rate (CDR) with age, Prostate-specificantigen (PSA) value, prostate volume, number of cores (10 or 12 cores) and mean core length were investigated.Results: The mean patient age, PSA and prostate volume were 62.3±7.9 years, 9.1±7.8 ng/mL and 55.8±21 mL, respectively. Cancer was diagnosedin 394 patients (24.2%). The mean core length was 12.7±1.7 (4.3-21.5) mm. Ten- and 12- core biopsies were performed in 1068 (65.6%), and 559(34.4%) patients, respectively. Older age, PSA, mean core length, number of cores and reduced prostate volume were found to be associated withCDR (p

Özet

Amaç: Rektal prostat muayenesi normal olan ve Prostat spesifik antijen (PSA) yüksekliği nedeniyle transrektal ultrason eşliğinde iğne biyopsisi (TRUS-BX) yapılan hastalarda kor uzunluğunun prostat kanseri yakalama üzerindeki etkisini araştırmak. Gereç ve Yöntem: Mart 2002 ile Nisan 2015 arasında TRUS-BX yapılan 3520 hastanın verileri retrospektif olarak analiz edildi. Rektal prostat muayenesi normal olan ve TRUS’da lezyonu olan 1627 hasta çalışmaya dahil edildi. Ortalama kor uzunluğu (OKU), toplam kor uzunluğunun alınan kor sayısına bölünmesiyle elde edildi. Yaş, PSA, prostat volümü, ortalama kor uzunluğu ve kor sayısının (10-12 kor) kanser yakalama üzerine etkisi araştırıldı. Bulgular: Ortalama hasta yaşı, PSA ve prostat volümü sırasıyla 62,3±7,9 yıl, 9,1±7,8 ng/mL, 55,8±21 mL idi ve 394 (%24,2) hastada kanser bulundu. Ortalama OKU, 12,7±1,7 (4,3-21,5) mm olarak bulundu. 1068 (%65,6) hastadan 10 kor, 559 (%34,4) hastadan 12 kor biyopsi yapıldığı görüldü. Yüksek yaş, PSA, ortalama kor uzunluğu, kor sayısı ve volümü ile kanser yakalama oranı arasında tek değişkenli analizde anlamlı ilişki bulundu. (p

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Cite This Article

KONAR, N. M., MAMMADOV, E., ALTAN, M., ÇITAMAK, B., AKDOĞAN, B., ÖZEN, H. (2022). Significance of Core Length in Current Transrectal Ultrasound-guided Prostate Biopsy in Patients with Normal Digital Rectal Examination. Journal of Urological Surgery, Cilt: 7 - Sayı: 2, 83–87. https://ajindex.com/articles/568628

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