应该停止系统性前列腺活检吗?
1University of Toronto, Sunnybrook Chair of Prostate Cancer Research, Sunnybrook Health Sciences Centre, 2075 Bayview Ave MG 408, Toronto, ON, M4N3M5, Canada. Laurence.Klotz@Sunnybrook.ca.
系统活检可能会忽略显著的前列腺癌,但看不见的病变往往是惰的. 通过MRI和向活检进行监测是首选的,而不是系统活检,以获得更好的患者结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 系统活检与有针对性的活检一起使用,因为临床显著癌症的错误率为15-20%.
- 对遗漏癌症的担忧影响了诸如系统活检和偏好全腺治疗等干预措施.
研究的目的:
- 审查MRI隐形前列腺病变的基因组和临床数据.
- 评估MRI隐形前列腺癌的临床意义和基因组概况.
主要方法:
- 审查最近的基因组和临床研究.
- 分析数据,将遗传异常与癌症的可见性,侵入性和转移性联系起来.
主要成果:
- 在MRI看不见的前列腺病变,尽管"临床上显著"的组织学,是基因组和临床上有利.
- 导致癌症可见性的遗传异常也与侵袭性有关;看不见的癌症通常是惰的.
结论:
- 对大多数患者来说,可以放弃系统活检.
- 用成像和重复向活检检查MRI进展的监测是患者利益的首选策略.
更多相关视频
05:32Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
Published on: September 21, 2015
05:35Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
Published on: June 6, 2025
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Serum Laboratory Studies, Stool Test, Breath Test
Disorders of the Male Reproductive System
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Imaging Studies II: Ultrasonography
Urologic Endoscopic Procedure: Cystoscopic Examination
