The clinical usefulness of routine biopsy of the transition zone in the diagnosis of prostate cancer

J. Morote Robles, M. López Pacios, G. Encabo Duró, I. de Torres Ramírez

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Abstract

OBJECTIVE: To evaluate the effectiveness of routine biopsy of the transitional area in patients undergoing early systematic sextant biopsy. PATIENTS AND METHODS: Two biopsies were taken from the transitional area further to a sextant biopsy in 164 consecutive patients. 98 cases had serum PSA levels higher than 4 ng/mL and 66 suspicious rectal digital examination. RESULTS: Cancer was detected in 77 patients (46.9%). In 28 (36.4%) cases cancer was found only in the peripheral area, in 2 (2.6%) in the transitional area and in 47 (61%) in both areas. CONCLUSION: Routine biopsy of the transitional area in early systematic prostate biopsy appears to be little effective. This would probably be indicated for patients undergoing rebiopsy.
Original languageEnglish
Pages (from-to)583-586
JournalActas urologicas españolas
Volume23
Issue number7
Publication statusPublished - 1 Jan 1999

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