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ESTIMATION OF DIAGNOSTIC VALUE OF TRANSRECTAL SONOGRAPHY (TRUS) IN CANCER OF THE PROSTATE
Article published in Urologia Polska 1998/51/1.

authors

Wojciech Szewczyk, Marcin Szkodny, Andrzej Preisner, Krzysztof Bar
Klinika Urologii ¦l±skiej AM w Katowicach
Kierownik Kliniki: dr hab. n. med. A. Preisner

keywords

prostate carcinoma of the prostate ultrasonography TRUS

summary

Objective. The diagnostic value of transrectal Sonography (TRUS) in cancer of
the prostate was estimated.
Material and method. Echogenic characteristics of the prostate of 45 patients
with histologically confirmed carcinoma of the prostate were analyzed
retrospectively.
Results. Of all 45 ultrasound patterns, 29 (64.4%) were determined as suspicious
for carcinoma of the prostate whereas 16 (36.6%) were not estimated as
characteristic for the carcinoma. Of all 30 patients with positive digital rectal
examination of the prostate echogenic lesions were found in 83.3%. When only
a PSA test was positive echogenic lesions were found in only 26.5%.
Conclusion. Diagnosis of carcinoma of the prostate based only on TRUS is not
trustworthy. Exclusion of prostate malignancy based on solo TRUS should not be
done, especially when patients are DRE and/or PSA positive.

references

  1. [1] Coffield, K. S., Speights, V. O., Brawn, P. N.: Ultrasound detection of pro-
  2. state cancer in postmortem speciments with histologic correlation. Radiology
  3. 1991, 179, 35-39.
  4. [2] Devonec, M., Chapeleon, J. Y., Cathignol, D.: Comparison of the diagnostic
  5. value of Sonography and rectal examination in cancer of the prostate. Eur. Urol.
  6. 1988, 14, 189-195.
  7. [3] Epstein, J. I., Walsh, P. C, Carmichael, M.: Pathologic and clinical findings
  8. to predict tumour extent of nonpalpable (Stage Tle) prostate cancer. JAMA 1994,
  9. 271, 368-374.
  10. [4] Lee, E, Gray, J., McCleary, R.: Transrectal ultrasound in the diagnosis of pro-
  11. state cancer: location, echogenicity, histopathology and staging. Prostate 1985,
  12. 7, 117-129.
  13. [5] Mettlin, C, Lee, R, Drago, J.: The American Cancer Society National Prosta-
  14. te Cancer Detection Project: Findings on the detection of early prostate cancer
  15. in 2425 men. Cancer 1991, 67, 2949-2957.
  16. [6] Muldoon, L., Resnick, M. I.: Results of ultrasonography of the prostate. Urol.
  17. Clin. North Am., 1989,16, 693-702.
  18. [7] Rifkin, M. D., Kurtz A. B., Choi, H. Y.: Endoscopic ultrasonic evaluation of the
  19. prostate using a transrectal probe: Prospective evaluation and acoustic characterisa-
  20. tion. Radiology 1983,149, 265-271.
  21. [8] Salo, J. O., Rannikko, S., Makinen, J.: Echogenic structure of prostatic cancer
  22. imaged on radical prostatectomy speciments. Prostate 1987,10,1-9.
  23. [9] Santuci, R. A., Brawer, M. K.: Correlation of Prostate-specific antigen and ultraso-
  24. nography in the evaluation of patients with carcinoma of the prostate. Seminars in
  25. Urology 1994, 4, 252-263.
  26. [10] Stilmant, M. M., Kuligowska, E.: Transrectal ultrasound screening for prostatic
  27. adenocarcinoma with histopathologic correlation. Cancer 1993, 71, 2041-2047.
  28. [U] Watanabe, H., Kaiho, H., Tanaka, M.: Diagnostic application of ultrasono-
  29. graphy to the prostate. Invest. Urol. 1971, 8, 548-559.