Prostate biopsy outcome using 29 mm cutting length

被引:17
作者
Fink, KG
Hutarew, G
Pytel, A
Schmeller, NT
机构
[1] Paracelsus Med Privatununiv, St Johannsspital, Dept Urol & Androl, Salzburger Landeskrankenanstalten, AT-5020 Salzburg, Austria
[2] Paracelsus Med Privatununiv, St Johannsspital, Dept Pathol, AT-5020 Salzburg, Austria
关键词
prostate cancer; prostate biopsy; cutting length;
D O I
10.1159/000087795
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives: The aim of the study was to compare the prostate biopsy outcome by using either standard or extended cutting length of the needles. Material and Methods: A total of 74 consecutive prostates from radical prostatectomy were used. Two sextant biopsies were performed ex vivo. We developed a precise simulation of a transrectal biopsy procedure using ultrasound for guiding the needle. In the first set of biopsies an 18-gauge tru cut needle with 19 mm cutting length, powered by a automatic biopsy gun was used. In the second set a single use gun with an 18- gauge end- cutting needle and 29 mm cutting length was used. Results: In the set of sextant biopsies using 19 mm cutting length 49 ( 66%) carcinomas were found. In the set of sextant biopsies using 29 mm cutting length 58 ( 78%) of the tumors were detected. 24 ( 32%) prostates showed tumor in the transition zones, but there was no transition- zone- only cancer in this study. Nevertheless taking longer cores led to an improvement in prostate cancer detection of 18%. Conclusions: In this ex vivo setting the use of 29 mm cutting length for prostate biopsy led to an significant improvement in cancer detection. As we found the end- cutting needle not suitable for use in the patient, these results support the idea to develop a longer tru cut needle and corresponding gun for further clinical investigations.
引用
收藏
页码:209 / 212
页数:4
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