[Evaluation of a seminal vesicle biopsy protocol simultaneous to diagnostic prostate biopsy. Analysis of indication criteria.] / Evaluación de un protocolo de biopsias de vesículas seminales simultáneo a biopsias prostáticas diagnósticas. Análisis de criterios de indicación.
Arch Esp Urol
; 70(5): 493-502, 2017 Jun.
Article
in Es
| MEDLINE
| ID: mdl-28613201
ABSTRACT
OBJECTIVES:
To analyze the indication criteria used for conducting seminal vesicles biopsies as well as the diagnostic capacity of other variables involved.METHODS:
We present the results of an observational and retrospective study (May 2006 - December 2012) using a sample of 140 patients to whom seminal vesicles biopsies was performed in a first set of prostate biopsy. They were patients eligible for curative treatment and presented any of the following criteria PSA ≥15 ng/ml, suspicion of neoplastic seminal vesicle invasion on transrectal US, and/or suspicious node in the prostate base on DRE or transrectal US.RESULTS:
Seminal vesicle invasion due to prostate cancer was detected in 22.2%. Patients with 3 criteria had T3b in 66.7% of cases. The criterion most associated with T3b was the presence of a suspicious node in the prostate base, with an association of 29.3% of cases. Variables analyzed that had shown a greater association with stage T3b were PSA density, the presence of suspicious DRE, the Gleason sum.CONCLUSIONS:
Our seminal vesicle biopsy protocol has detected 22.2% of seminal vesicle invasion. The detection of a suspicious node at the prostate base has shown the greatest association with T3b.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prostate
/
Prostatic Neoplasms
/
Seminal Vesicles
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Risk_factors_studies
Limits:
Aged
/
Humans
/
Male
Language:
Es
Journal:
Arch Esp Urol
Year:
2017
Document type:
Article