The Journal of Urology
Volume 179, Issue 4 , Pages 1327-1331 , April 2008

Initial Extended Transrectal Prostate Biopsy—Are More Prostate Cancers Detected With 18 Cores Than With 12 Cores?

  • Vincenzo Scattoni

      Affiliations

    • Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy
    • Corresponding Author InformationCorrespondence: Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Via Olgettina 60, 20132 Milan, Italy (telephone: +39 02 2643-2311; FAX: +39 02 2643-2735).
    • ,
  • Marco Roscigno

      Affiliations

    • Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy
    • Department of Urology, Casa di Cura Ville Turro, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Marco Raber

      Affiliations

    • Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy
    • Department of Urology, Casa di Cura Ville Turro, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Federico Dehò

      Affiliations

    • Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Tommaso Maga

      Affiliations

    • Department of Urology, Casa di Cura Ville Turro, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Matteo Zanoni

      Affiliations

    • Department of Urology, Casa di Cura Ville Turro, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Matteo Riva

      Affiliations

    • Department of Urology, Casa di Cura Ville Turro, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Mattia Sangalli

      Affiliations

    • Department of Urology, Casa di Cura Ville Turro, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Luciano Nava

      Affiliations

    • Department of Urology, Casa di Cura Ville Turro, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Bruno Mazzoccoli

      Affiliations

    • Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Massimo Freschi

      Affiliations

    • Department of Pathology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Giorgio Guazzoni

      Affiliations

    • Department of Urology, Casa di Cura Ville Turro, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Patrizio Rigatti

      Affiliations

    • Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy
    • ,
  • Francesco Montorsi

      Affiliations

    • Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy

Received 3 July 2007

References 

  1. Singh H, Canto EI, Shariat SF, Kadmon D, Miles BJ, Wheeler TM, et al. Improved detection of clinically significant, curable prostate cancer with systematic 12-core biopsy. J Urol. 2004;171:1089
  2. Durkan GC, Sheikh N, Johnson P, Hildreth AJ, Greene DR. Improving prostate cancer detection with an extended-core transrectal ultrasonography-guided prostate biopsy protocol. BJU Int. 2002;89:33
  3. de laTaille A, Antiphon P, Salomon L, Cherfan M, Porcher R, Hoznek A, et al. Prospective evaluation of a 21-sample needle biopsy procedure designed to improve the prostate cancer detection rate. Urology. 2003;61:1181
  4. Presti JC, O’Dowd GJ, Miller MC, Mattu R, Veltri RW. Extended peripheral zone biopsy schemes increase cancer detection rates and minimize variance in prostate specific antigen and age related cancer rates: results of a community multi-practice study. J Urol. 2003;169:125
  5. Montironi R, Scattoni V, Mazzucchelli R, Lopez-Beltran A, Bostwick DG, Montorsi F. Atypical foci suspicious but not diagnostic of malignancy in prostate needle biopsies (also referred to as “atypical small acinar proliferation suspicious for but not diagnostic of malignancy”). Eur Urol. 2006;50:666
  6. Eskicorapci SY, Baydar DE, Akbal C, Sofikerim M, Gunay M, Ekici S, et al. An extended 10-core transrectal ultrasonography guided prostate biopsy protocol improves the detection of prostate cancer. Eur Urol. 2004;45:444
  7. Siu W, Dunn RL, Shah RB, Wei JT. Use of extended pattern technique for initial prostate biopsy. J Urol. 2005;174:505
  8. Elabbady AA, Khedr MM. Extended 12-core prostate biopsy increases both the detection of prostate cancer and the accuracy of Gleason score. Eur Urol. 2006;49:49
  9. Borboroglu PG, Comer SW, Riffenburgh RH, Amling CL. Extensive repeat transrectal ultrasound guided prostate biopsy in patients with previous benign sextant biopsies. J Urol. 2000;163:158
  10. Stewart CS, Leibovich BC, Weaver AL, Lieber MM. Prostate cancer diagnosis using a saturation needle biopsy technique after previous negative sextant biopsies. J Urol. 2001;166:86
  11. Rabets JC, Jones JS, Patel A, Zippe CD. Prostate cancer detection with office based saturation biopsy in a repeat biopsy population. J Urol. 2004;172:94
  12. Jones JS, Patel A, Schoenfield L, Rabets JC, Zippe CD, Magi-Galluzzi C. Saturation technique does not improve cancer detection as an initial prostate biopsy strategy. J Urol. 2006;175:485
  13. Eichler K, Hempel S, Wilby J, Myers L, Bachmann LM, Kleijnen J. Diagnostic value of systematic biopsy methods in the investigation of prostate cancer: a systematic review. J Urol. 2006;175:1605
  14. Luciani LG, De Giorgi G, Valotto C, Zanin M, Bierti S, Zattoni F. Role of transperineal six-core prostate biopsy in patients with prostate-specific antigen level greater than 10 ng/mL and abnormal digital rectal examination findings. Urology. 2006;67:555
  15. Kawakami S, Okuno T, Yonese J, Igari T, Arai G, Fujii Y, et al. Optimal sampling sites for repeat prostate biopsy: a recursive partitioning analysis of three-dimensional 26-core systematic biopsy. Eur Urol. 2007;51:675
  16. Djavan B. Prostate biopsies and Vienna nomograms. Eur Urol. 2006;5(suppl.):500
  17. Ficarra V, Novella G, Novara G, Galfano A, Pea M, Martignoni G, et al. The potential impact of prostate volume in the planning of optimal number of cores in the systematic transperineal prostate biopsy. Eur Urol. 2005;48:932
  18. Inahara M, Suzuki H, Kojima S, Komiya A, Fukasawa S, Imamoto T, et al. Improved prostate cancer detection using systematic 14-core biopsy for large prostate glands with normal digital rectal examination findings. Urology. 2006;68:815
  19. Epstein JI, Herawi M. Prostate needle biopsies containing prostatic intraepithelial neoplasia or atypical foci suspicious for carcinoma: implications for patient care. J Urol. 2006;175:820
  20. Kobayashi T, Nishizawa K, Watanabe J, Ogura K, Mitsumori K, Ide Y. Effects of sextant transrectal prostate biopsy plus additional far lateral cores in improving cancer detection rates in men with large prostate glands. Int J Urol. 2004;11:392

 For another article on a related topic see pages 1580 and 1587.

 Study received institutional review board approval.

PII: S0022-5347(07)03091-1

doi: 10.1016/j.juro.2007.11.052

The Journal of Urology
Volume 179, Issue 4 , Pages 1327-1331 , April 2008

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