Departments of Urology, First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China *These three authors contributed equally to this work.
✉ Corresponding authors: Xue-Yi Xue and Yong Wei, Department of Urology, First Affiliated Hospital of Fujian Medical University, 20 Chazhong Road, Fuzhou 350005, China. Tel.: +86-059187981687; E-mail address: xuexueyiedu.cn (Xue-Yi Xue), weiyong2017edu.cn (Yong Wei)More
Citation:
Xu N, Wu YP, Li XD, Lin MY, Zheng QS, Chen SH, Li JF, Wei Y, Xue XY. Risk of upgrading from prostate biopsy to radical prostatectomy pathology: Is magnetic resonance imaging-guided biopsy more accurate?. J Cancer 2018; 9(19):3634-3639. doi:10.7150/jca.26791. https://www.jcancer.org/v09p3634.htm
Background: This study compared magnetic resonance imaging-guided biopsy (MRI-GB) and transrectal ultrasound guided biopsy (TRUS-GB) with the final histology of the radical prostatectomy (RP) specimen.
Methods: Our subjects were 229 patients with prostate cancer (PCa), proven histopathologically using MRI-GB or TRUS-GB, who underwent RP at our center between December 2015 and December 2016. The main group included 92 patients who underwent MRI-GB and the control group included 137 patients who underwent 12-core TRUS-GB. Histological findings for RP specimens were compared with those from biopsies. We also evaluated predictors of upgraded Gleason score (GS), using uni- and multivariate analyses.
Results: Upgraded GS between biopsy and RP specimen occurred to 22.7% (52/229) of the cohort overall. In univariate analysis, prostate-specific antigen density (PSAD) (P<0.001), prostate volume (PV) < 30 ml (P<0.001), biopsy modality (P=0.027), biopsy GS (P=0.032) and measured MRI lymph node metastasis (P=0.018) were prognostic factors. Multivariate logistic regression analysis showed PV < 30 ml (P<0.001) and biopsy modality (P=0.001) were independent predictors of upgraded GS.
Conclusions: MRI-GB may enhance the diagnostic accuracy of prostate cancer detection in final histopathology with lower rate of upgraded GS than TRUS-GB. Also, PV < 30 ml and biopsy modality were independent predictors of upgraded GS.
Xu, N., Wu, Y.P., Li, X.D., Lin, M.Y., Zheng, Q.S., Chen, S.H., Li, J.F., Wei, Y., Xue, X.Y. (2018). Risk of upgrading from prostate biopsy to radical prostatectomy pathology: Is magnetic resonance imaging-guided biopsy more accurate?. Journal of Cancer, 9(19), 3634-3639. https://doi.org/10.7150/jca.26791.
ACS
Xu, N.; Wu, Y.P.; Li, X.D.; Lin, M.Y.; Zheng, Q.S.; Chen, S.H.; Li, J.F.; Wei, Y.; Xue, X.Y. Risk of upgrading from prostate biopsy to radical prostatectomy pathology: Is magnetic resonance imaging-guided biopsy more accurate?. J. Cancer 2018, 9 (19), 3634-3639. DOI: 10.7150/jca.26791.
NLM
Xu N, Wu YP, Li XD, Lin MY, Zheng QS, Chen SH, Li JF, Wei Y, Xue XY. Risk of upgrading from prostate biopsy to radical prostatectomy pathology: Is magnetic resonance imaging-guided biopsy more accurate?. J Cancer 2018; 9(19):3634-3639. doi:10.7150/jca.26791. https://www.jcancer.org/v09p3634.htm
CSE
Xu N, Wu YP, Li XD, Lin MY, Zheng QS, Chen SH, Li JF, Wei Y, Xue XY. 2018. Risk of upgrading from prostate biopsy to radical prostatectomy pathology: Is magnetic resonance imaging-guided biopsy more accurate?. J Cancer. 9(19):3634-3639.
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