Prostate biopsy after ano-rectal resection: value of CT-guided trans-gluteal biopsy.
We describe our single-institutional experience with computed tomography (CT)-guided percutaneous transgluteal biopsy of the prostate in patients in whom transrectal ultrasound-guided biopsy is precluded by prior ano-rectal resection. Between March 1995 and April 2007, 22 patients had 34 prostate bi...
| Published in: | European Radiology Vol. 18; no. 4; pp. 738 - 743 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Published: |
Springer Nature
Apr2008
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105647790&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105647790 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Apr2008 vid: 18 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105647790 105647790 31342493 NLM18196247 2009872352 10.1007/s00330-007-0828-2 NLM18196247 105647790 ppf: 738 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Prostate biopsy after ano-rectal resection: value of CT-guided trans-gluteal biopsy. aug: au: Cantwell CP Hahn PF Gervais DA Mueller PR Cantwell, Colin P Hahn, Peter F Gervais, Debra A Mueller, Peter R affil: Division of Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, Boston, MA 02114, USA sug: subj: Adenocarcinoma Pathology Buttocks Prostatic Neoplasms Pathology Radiography, Interventional Tomography, X-Ray Computed Aged Aged, 80 and Over Diagnosis, Differential Male Middle Age Prostate-Specific Antigen Blood Ultrasonography Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Male ab: We describe our single-institutional experience with computed tomography (CT)-guided percutaneous transgluteal biopsy of the prostate in patients in whom transrectal ultrasound-guided biopsy is precluded by prior ano-rectal resection. Between March 1995 and April 2007, 22 patients had 34 prostate biopsies (mean age 68; mean PSA 29 ng/ml; mean follow-up 6.1 years). The charts of patients who had transgluteal biopsy were reviewed for demographic, complications and pathology. Ninety-five percent (21/22) of primary biopsies were diagnostic. Of the 21 diagnostic biopsies, 11 were positive for prostate cancer and ten were definitive benign samples. Seventy-three percent (8/11) of the patients had progressive PSA elevation that mandated 11 further prostate biopsies. Six patients had a second biopsy, one patient had a third and one patient had a fourth biopsy. Among patients who had serial biopsies, 38% (3/8) had prostate cancer. No complications or death occurred. A malignant biopsy was not significantly associated with core number (P = 0.58) or a high PSA level (P = 0.15). CT-guided transgluteal biopsy of the prostate is safe and effective. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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