Targeted and regional biopsy in prostate cancer: first real-world data.

IF 2.8 2区 医学 Q2 UROLOGY & NEPHROLOGY
Thibaut Long-Depaquit, Renaud Corral, Alessandro Uleri, Arthur Peyrottes, Jennifer Campagna, Harry Toledano, Cyrille Bastide, Michael Baboudjian
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引用次数: 0

Abstract

Introduction: MRI-targeted biopsies enhance prostate cancer (PCa) diagnostics, but systematic distant biopsies increase overdiagnosis and overtreatment. Regional biopsies may optimize diagnostic efficiency.

Methods: This prospective single-center study included biopsy-naïve patients undergoing transperineal MRI-guided biopsies with cognitive fusion and regional sampling.

Results: Among 50 patients, 66% had clinically significant PCa, 16% insignificant PCa, and 18% no cancer. No re-biopsies were needed for non-cancerous cases. Of 12 patients undergoing nerve-sparing radical prostatectomy, 25% had a bilateral disease, with two positive margins.

Conclusion: This novel biopsy template may help reduce unnecessary sampling and associated risks. Larger comparative studies are needed to confirm these findings.

前列腺癌的靶向和局部活检:第一个真实世界的数据。
导读:mri靶向活检提高前列腺癌(PCa)的诊断,但系统远处活检增加过度诊断和过度治疗。局部活检可提高诊断效率。方法:这项前瞻性单中心研究纳入biopsy-naïve患者接受经会阴mri引导下的认知融合和区域取样活检。结果:50例患者中,66%有临床显著性PCa, 16%无显著性PCa, 18%无癌。非癌性病例无需再次活检。在12例接受保留神经的根治性前列腺切除术的患者中,25%的患者有双侧病变,有两个阳性边缘。结论:这种新的活检模板有助于减少不必要的采样和相关风险。需要更大规模的比较研究来证实这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World Journal of Urology
World Journal of Urology 医学-泌尿学与肾脏学
CiteScore
6.80
自引率
8.80%
发文量
317
审稿时长
4-8 weeks
期刊介绍: The WORLD JOURNAL OF UROLOGY conveys regularly the essential results of urological research and their practical and clinical relevance to a broad audience of urologists in research and clinical practice. In order to guarantee a balanced program, articles are published to reflect the developments in all fields of urology on an internationally advanced level. Each issue treats a main topic in review articles of invited international experts. Free papers are unrelated articles to the main topic.
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