T3 prostate cancer: how reliable is clinical staging?
The treatment of locally advanced stage T3 prostate carcinoma remains controversial. The reliability of the clinical assessment of extracapsular extension by digital rectal examination (DRE) is therefore crucial. Results from series of patients with T3 prostate cancer treated by radical prostatectom...
| Publicado en: | Seminars in Urologic Oncology Vol. 15; no. 4; pp. 202 - 207 |
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| Autores principales: | , |
| Formato: | review Journal Article |
| Publicado: |
W B Saunders
1997 Nov
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106726461&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106726461 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10810943 DPQ jtl: Seminars in Urologic Oncology issn: 10810943 maglogo: N pubinfo: dt: 1997 Nov vid: 15 iid: 4 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 106726461 106726461 2004059365 NLM9421446 106726461 ppf: 202 ppct: 5 formats: tig: atl: T3 prostate cancer: how reliable is clinical staging? aug: au: Ravery V Boccon-Gibod L affil: Department of Urology, Bichat Hospital, 46 rue Henri Huchard, 75018 Paris, France sug: subj: Digital Rectal Examination Neoplasm Staging Evaluation Neoplasm Staging Methods Prostatic Neoplasms Physiopathology Biopsy Clinical Trials Magnetic Resonance Imaging Prostate Analysis Prostate-Specific Antigen Diagnostic Use Prostatic Neoplasms Blood Tomography, Emission-Computed Ultrasonography ab: The treatment of locally advanced stage T3 prostate carcinoma remains controversial. The reliability of the clinical assessment of extracapsular extension by digital rectal examination (DRE) is therefore crucial. Results from series of patients with T3 prostate cancer treated by radical prostatectomy indicate that DRE has shown a wide range of accuracy from 44% to 82%. The assessment of capsule perforation on biopsy provides a 96% specificity rate and a positive predictive value of 60%. Furthermore, if the apparent clinical status of the seminal vesicle is incorrect, sampling errors on biopsy may be substantial. Biopsy therefore appears to provide a more accurate assessment of the capsule than of the seminal vesicle. Information regarding the correlation between T3 clinical staging and conventional/endorectal coil magnetic resonance imaging staging is still needed. Finally, the accuracy rate of DRE for T3 staging increases to more than 90% if the prostate-specific antigen level is greater than 15 ng/mL. Copyright © 1997 by W B. Saunders Company pubtype: Periodical doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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