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[每叶多个样本的系统活检在前列腺癌诊断中的应用]

[Systematic biopsy with multiple samples per lobe in the diagnosis of prostatic carcinoma].

作者信息

Limitone D A, Lorusso A, Saponaro P, Marucco E C, Pagliarulo A

机构信息

Cattedra di Urologia R, Policlinico, Bari.

出版信息

Arch Ital Urol Androl. 1998 Jun;70(3 Suppl):25-9.

PMID:9707767
Abstract

A new fashion of prostate transperineal biopsy (seven cores from each lobe) is described, in order to evaluate a potential increase of prostate cancer detection rate. From June 1996 to PSA. April 1997, 247 patients underwent transperineal biopsy for an abnormal DRE and/or elevated In addition to apex, base and lateral peripheral samples, two more were obtained from middle-lateral peripheral zone and tow more from transition zone of each lobe of the prostate. In 14 patients (13.1%) carcinoma was detected in the additional samples only. This new biopsy fashion seems to be safe and more accurate than sextant biopsy for a significant percentage of cancer that otherwise would have been missed.

摘要

描述了一种新的前列腺经会阴活检方式（每个叶取7个芯组织），以评估前列腺癌检出率可能的提高。1996年6月至1997年4月，247例患者因直肠指检异常和/或前列腺特异性抗原（PSA）升高接受经会阴活检。除了尖部、基部和外周侧方样本外，还从前列腺每个叶的中外周带多取2个样本，从移行带多取2个样本。仅在额外样本中检测到癌的患者有14例（13.1%）。对于相当比例原本会漏诊的癌症，这种新的活检方式似乎比六分区活检更安全、更准确。

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