Abstract

RODRIGUEZ ALONSO, A. et al. Prostate cancer diagnosis using 24 cores extended biopsy. Actas Urol Esp [online]. 2005, vol.29, n.10, pp.934-942. ISSN 0210-4806.

Objective: To determine the diagnostic performance of extended prostatic biopsy (PB) in prostate cancer (PC) and variables affecting positivity. Materials and Methods: Patients (n=147) underwent 24 cylinder PB at the Arquitecto Marcide Hospital, Ferrol, La Coruña, between December 2002-September 2004. Inclusion criteria were the following: patients aged ≤70 with one or more negative PB or aged ≤75 with two or more negative PB. An univariate analysis was carried out using the Χ² test for the qualitative variables and the t-Student and U Mann-Whitney tests in the case of the quantitative variables, plus a logistical regression analysis in order to identify those variables related to the extended PB positivity. Results: 60 patients (40.82%) were identified as having PC. Significant differences were observed in prostatic volume, free/total PSA ratio in the initial PB, free/total PSA ratio in the extended PB, PSA-density in the extended PB as well as the existence of chronic prostatitis in previous PB. During the multivariate analysis it was found that the PSA-density and the presence of chronic prostatitis in previous PB independently predicted the positivity of the extended PB. Conclusions: Extended PB allows for the detection of PC in 40.82% of patients with previous negative PB. The increase in PSA density is associated with a greater probability of PC, whilst the existence of chronic prostatitis in prior PB significantly reduces the probability of PC in the extended PB.

Keywords : Prostate; Biopsy; Prostatic neoplasms; Adenocarcinoma; Diagnosis.

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