J Med Life Sci > Volume 10(1); 2013 > Article
Journal of Medicine and Life Science 2013;10(1):13-16.
DOI: https://doi.org/10.22730/jmls.2013.10.1.13    Published online December 18, 2018.
경직장초음파를 이용한 전립선 생검수에 따른 암 진단률과 합병증의 분석
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The Analysis of Prostate Cancer Diagnosis and Complications according to Biopsy Strategy guided by Trans-Rectal Ultra Sonography(TRUS)
Jong Young Lee, Jung-Sik Huh
Correspondence:  Jung-Sik Huh,
Abstract
Purpose : Generally the diagnosis of prostate cancer has been procedured by pro state biopsy guided by transrectal ultrasonography (TRUS). An increase in the number of prostate biopsy procedures, causes increase in both cancer detection rates and associated complications. The purpose of this study is to analyze of prostate cancer detection rate and complications according to prostate biopsy strategy. Methods : We analyzed the 365 patients who visited Jeju National University(JNU) Hospital from March 2009 to January 2012, conducted the prostate biopsy guided by TRUS. The patients with prostate cancer might show the noticeable symptoms including high PSA level, palpable nodule in the prostate rectal examination, or low echo lesion in TRUS. We divided the patients into 2 groups: Comparison of sextant biopsy (group 1) and 10 prostate biopsy (group 2). Results : There was no difference in average age and past medical history such as diabetes mellitus(DM), hypertension(HTN) or cerebro vascular accident(CVA) between two groups. However, prostate specific antigen (PSA) level was higher in group 2. We detected a variety of complications such as hematuria, acute urinary retention, urinary tract infection and rectal bleeding in both groups. Except rectal bleeding, there were no differences in the complications. The diagnosis of prostate cancer was higher in group 2, and statistically significant (p = 0.012). There was no significant difference in Gleason score between two groups. Conclusion : The procedure of prostate biopsy guided by TRUS is generally safe, and 10 location of prostate biopsy using TRUS can further help in prostate cancer diagnosis.
Key Words: Cancer, Transrectal sonography, Gleason score, Complications
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