[Transrectal echography and cancer of the prostate. I. Echographic characteristics]

Our diagnostic criteria in prostatic cancer using transrectal ultrasonography are described herein. A prospective study was undertaken since 1984 in a total of 1,512 patients. 75 of whom had cancer of the prostate. For the present study, we analyzed a series of ultrasonographic parameters that we have termed "intrinsic parameters" (IP) and "morphologic parameters" (MP). IP refer to the echo characteristic of the area within the prostate (intensity of brightness and size of granules) whereas MP refer to the general aspects of the prostate gland (ratio of transverse to anteroposterior diameter, shape deformity and rupture of capsule). The MP have proved to have a more diagnostics capacity; thus, when present, a diagnosis of prostatic cancer is made. IP changes alert us to suspect this condition. A T/AP ratio less than l, a "bell-shaped" prostate, is almost pathognomonic of prostate cancer since the foregoing has not been observed in benign conditions.