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[前列腺穿刺活检对前列腺癌的诊断准确性]

[Diagnostic accuracy of prostate needle biopsies in cancer of the prostate].

作者信息

Mihatsch M J, Ohnacker H, Torhorst J, Oberholzer M, Spichtin H P, Eichenberger T, Rist M

出版信息

Helv Chir Acta. 1981 Aug;48(3-4):383-5.

PMID:7287474
Abstract

The carcinoma of the prostate can be diagnosed with high certainty in needle biopsy. Among 450 cases only one false diagnosis was found. Under routine diagnostic conditions, semiquantitative evaluation showed that 50% of the investigated morphological parameters in carcinomas of the prostate can be reproduced by one and the same or different investigators with a sufficiently high degree of certainty. Comparison between needle biopsy and transurethral resection material showed that the overall coincidence of tumor classification (according to the predominant part of tumor) was only 50%. The authors conclude that tumor therapy should not predominantly be based on morphology present in a single needle biopsy.

摘要

前列腺癌在针吸活检中能够被高度准确地诊断。在450例病例中仅发现1例假诊断。在常规诊断条件下,半定量评估显示,前列腺癌中50%的被研究形态学参数能够被同一或不同研究者以足够高的准确度重复得出。针吸活检与经尿道切除术取材的比较显示,肿瘤分类(根据肿瘤的主要部分)的总体符合率仅为50%。作者得出结论,肿瘤治疗不应主要基于单次针吸活检中呈现的形态学。

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