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Published on: September 21, 2015
Lycopodium spores in transrectal ultrasound-guided core biopsies of the prostate
T C Andersen1, G W Jürgensen, E Christensen
1Department of Surgery, Glostrup Hospital, Denmark.
Abstract:
Lycopodium clavatum (LC) spores were found in two cases in transrectal ultrasound-guided core biopsies of the prostate. The source turned out to be the coating of the condoms used for protection of the ultrasound probe. To minimize confusion in analyzing the biopsies and to avoid granulomas of the prostate, LC spore-free condoms are available and are recommended for the biopsy procedure.
Insights
Lycopodium clavatum (LC) spores in prostate biopsies were traced to condom coatings. Using LC spore-free condoms can prevent diagnostic confusion and prostate inflammation.
Area of Science:
- Urology
- Pathology
- Microbiology
Background:
- Transrectal ultrasound-guided prostate biopsies are a standard diagnostic procedure.
- Accurate histological analysis is crucial for diagnosing prostate conditions.
Observation:
- Lycopodium clavatum (LC) spores were unexpectedly identified in two prostate core biopsy samples.
- The spores were traced to the lubricating coating of standard ultrasound probe covers.
Findings:
- The presence of LC spores can mimic or obscure pathological findings in prostate biopsies.
- Misidentification of spores may lead to unnecessary investigations or misdiagnosis, potentially causing prostate inflammation or granulomas.
Implications:
- The use of LC spore-free condoms is recommended for transrectal ultrasound-guided prostate biopsies.
- Implementing spore-free materials can enhance diagnostic accuracy and patient safety in urological procedures.
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