Improving diagnostic accuracy of prostate carcinoma by systematic random map-biopsy |
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Authors: | János Szabó György Hegedûs Katalin Bartók Tibor Kerényi Attila Végh Imre Romics Béla Szende |
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Affiliation: | Central Military Hospital, Department of Urology, Budapest, Hungary. |
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Abstract: | Systematic random rectal ultrasound directed map-biopsy of the prostate was performed in 77 RDE (rectal digital examination) positive and 25 RDE negative cases, if applicable. Hypoechoic areas were found in 30% of RDE positive and in 16% of RDE negative cases. The score for carcinoma in the hypoechoic areas was 6.5% in RDE positive and 0% in RDE negative cases, whereas systematic map biopsy detected 62% carcinomas in RDE positive, and 16% carcinomas in RDE negative patients. The probability of positive diagnosis of prostate carcinoma increased in parallel with the number of biopsy samples/case. The importance of systematic map biopsy is emphasized. |
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Keywords: | map-biopsy prostate carcinoma RDE |
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