Your browser doesn't support javascript.
loading
Does an asymmetric lobe in digital rectal examination include any risk for prostate cancer? results of 1495 biopsies
Yilmaz, Ömer; Kurul, Özgür; Ates, Ferhat; Soydan, Hasan; Aktas, Zeki.
Afiliação
  • Yilmaz, Ömer; GATA Haydarpasa Teaching Hospital. Department of Urology. Istanbul. TR
  • Kurul, Özgür; GATA Haydarpasa Teaching Hospital. Department of Urology. Istanbul. TR
  • Ates, Ferhat; GATA Haydarpasa Teaching Hospital. Department of Urology. Istanbul. TR
  • Soydan, Hasan; GATA Haydarpasa Teaching Hospital. Department of Urology. Istanbul. TR
  • Aktas, Zeki; GATA Haydarpasa Teaching Hospital. Department of Urology. Istanbul. TR
Int. braz. j. urol ; 42(4): 704-709, July-Aug. 2016. tab, graf
Article em En | LILACS | ID: lil-794675
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

Introduction:

Despite the well-known findings related to malignity in DRE such as nodule and induration, asymmetry of prostatic lobes, seen relatively, were investigated in a few studies as a predictor of prostate cancer so that there is no universally expected conclusion about asymmetry. We aimed to compare cancer detection rate of normal, asymmetric or suspicious findings in DRE by using biopsy results. Materials and

Methods:

Data of 1495 patients underwent prostate biopsy between 2006-2014 were searched retrospectively. Biopsy indications were abnormal DRE and or elevated PSA level(>4ng/mL). DRE findings were recorded as Group 1 Benign DRE, Group 2 Asymmetry and Group 3 Nodule/induration. Age, prostatic volume, biopsy results and PSA levels were recorded.

Results:

Mean age, prostate volume and PSA level were 66.72, 55.98 cc and 18.61ng/ mL respectively. Overall cancer detection rate was 38.66 % (575 of 1495). PSA levels were similar in group 1 and 2 but significantly higher in group 3. Prostatic volume was similar in group 1 and 2 and significantly lower in Group 3. Malignity detection rate of group 1,2 and 3 were 28.93%, 34.89% and 55.99% respectively. Group 1 and 2 were similar (p=0.105) but 3 had more chance for cancer detection.

Conclusion:

Nodule is the most important finding in DRE for cancer detection. Only an asymmetric prostate itself does not mean malignity.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Próstata / Neoplasias da Próstata / Antígeno Prostático Específico / Exame Retal Digital Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Próstata / Neoplasias da Próstata / Antígeno Prostático Específico / Exame Retal Digital Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male Idioma: En Ano de publicação: 2016 Tipo de documento: Article