دورية أكاديمية
Histopathological concordance between prostate biopsies and radical prostatectomy specimens-implications of transrectal and transperineal biopsy approaches.
العنوان: | Histopathological concordance between prostate biopsies and radical prostatectomy specimens-implications of transrectal and transperineal biopsy approaches. |
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المؤلفون: | Hagens MJ; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands. m.hagens@nki.nl.; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands. m.hagens@nki.nl.; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands. m.hagens@nki.nl., Ribbert LLA; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands., Jager A; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands.; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands., Veerman H; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands.; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands., Barwari K; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, Andros Clinics, Amsterdam, the Netherlands., Boodt B; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, Flevoziekenhuis, Almere, the Netherlands., de Bruijn RE; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, Ziekenhuis Amstelland, Amstelveen, the Netherlands., Claessen A; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, Rode Kruis Ziekenhuis, Beverwijk, the Netherlands., Leter MR; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, Dijklander Ziekenhuis, Hoorn, the Netherlands., van der Noort V; Department of Statistics, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands., Smeenge M; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, St Jansdal Ziekenhuis, Harderwijk, the Netherlands., Roeleveld TA; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, Noordwest Ziekenhuisgroep, Alkmaar, the Netherlands., Rynja SP; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, Spaarne Gasthuis, Hoofddorp, the Netherlands., Schaaf M; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, BovenIJ Ziekenhuis, Amsterdam, the Netherlands., Weltings S; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands.; Department of Urology, Zaans Medisch Centrum, Zaandam, the Netherlands., Vis AN; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands.; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands., Bekers E; Department of Pathology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands., van Leeuwen PJ; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands., van der Poel HG; Department of Urology, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.; Department of Urology, Amsterdam University Medical Centers location Boelelaan, Amsterdam, the Netherlands.; Prostate Cancer Network the Netherlands, Amsterdam, the Netherlands. |
المصدر: | Prostate cancer and prostatic diseases [Prostate Cancer Prostatic Dis] 2024 Jun; Vol. 27 (2), pp. 312-317. Date of Electronic Publication: 2023 Sep 02. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 9815755 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5608 (Electronic) Linking ISSN: 13657852 NLM ISO Abbreviation: Prostate Cancer Prostatic Dis Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2002->: London : Nature Publishing Group Original Publication: Houndmills, Basingstoke, UK : Stockton Press, c1997- |
مواضيع طبية MeSH: | Prostatic Neoplasms*/pathology , Prostatic Neoplasms*/surgery , Prostatectomy*/methods, Humans ; Male ; Middle Aged ; Aged ; Neoplasm Grading ; Prostate/pathology ; Prostate/surgery ; Biopsy/methods ; Perineum/surgery ; Perineum/pathology ; Rectum/surgery ; Rectum/pathology ; Magnetic Resonance Imaging/methods ; Image-Guided Biopsy/methods ; Retrospective Studies |
مستخلص: | Background: This study aimed to evaluate the histopathological concordance rates between prostate biopsies and radical prostatectomy specimens according to the applied biopsy approach (transrectal or transperineal). Methods: We studied patients who had been newly diagnosed with clinically significant prostate cancer and who underwent a radical prostatectomy between 2018 and 2022. Patients were included if they underwent a prebiopsy magnetic resonance imaging and if they had not been previously treated for prostate cancer. Histopathological grading on prostate biopsies was compared with that on radical prostatectomy specimens. Univariable and multivariable logistic regression analyses were performed to assess the effect of the applied biopsy approach on histopathological concordance. Additional analyses were performed to assess the effect of the applied biopsy approach on American Urological Association risk group migration, defined as any change in risk group after radical prostatectomy. Results: In total, 1058 men were studied, of whom 49.3% (522/1058) and 50.7% (536/1058) underwent transrectal and transperineal prostate biopsies, respectively. Histopathological disconcordance was observed in 37.8% (400/1058) of men while American Urological Association risk group migration was observed in 30.2% (320/1058) of men. A transperineal biopsy approach was found to be independently associated with higher histopathological concordance rates (OR 1.33 [95% CI 1.01-1.75], p = 0.04) and less American Urological Association risk group migration (OR 0.70 [95% CI 0.52-0.93], p = 0.01). Conclusions: The use of a transperineal biopsy approach improved histopathological concordance rates compared to the use of a transrectal biopsy approach. A transperineal biopsy approach may provide more accurate risk stratification for clinical decision-making. Despite recent improvements, histopathologic concordance remains suboptimal and should be considered before initiating management. (© 2023. The Author(s), under exclusive licence to Springer Nature Limited.) |
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تواريخ الأحداث: | Date Created: 20230902 Date Completed: 20240515 Latest Revision: 20240515 |
رمز التحديث: | 20240516 |
DOI: | 10.1038/s41391-023-00714-x |
PMID: | 37660218 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1476-5608 |
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DOI: | 10.1038/s41391-023-00714-x |