Biopsy of the prostate guided by transrectal ultrasonography: early experience in a teaching community hospital.

Abstract:

:Transrectal ultrasonography (TRUS) was used to guide 277 biopsies of the prostate in 182 patients. The Bard Biopty system was used. Of these 182 patients, 107 (59%) had benign changes, and 75 (41%) had malignant lesions. Of those with cancer, 40% (30/75) had negative results of digital rectal examination (DRE). The cancer detection rate by TRUS was 40.7%, and by DRE alone it was 24.2%. Use of TRUS before transurethral resection of the prostate (TURP) in 47 patients with negative findings on DRE yielded 22 cancerous lesions (47%). We advocate this method in patients with abnormalities detected on DRE or with elevated levels of prostate-specific antigen or prostatic acid phosphatase, and as preoperative screening in patients having TURP because of the potential impact of a preoperative diagnosis of cancer upon the choice of treatment.

journal_name

South Med J

journal_title

Southern medical journal

authors

Allen MD,Embry B

subject

Has Abstract

pub_date

1991-05-01 00:00:00

pages

579-86

issue

5

eissn

0038-4348

issn

1541-8243

journal_volume

84

pub_type

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