TRANSRECTAL ULTRASOUND GUIDED BIOPSY OF THE PROSTATE
Abstract
Transrectal ultrasonography is a useful method of imaging the prostate gland. Endorectal ultrasonography maybe used in the assessment of the enlarged or nodular prostrate. Benign prostatic hyperplasia, prostatitis and
prostatic cancer can be evaluated by this technique. In the management of patients with prostatic cancer,
transrectal ultrasound scanning is invaluable in the diagnosis, staging, treatment and follow-up of the disease.
We at Jinnah Hospital/Lahore General Hospital Lahore are using this technique for the imaging of prostate for
the last many years. In this paper we will describe our experience regarding the value of transrectal ultrasound
guided biopsy of the prostate in the diagnosis of prostatic cancer. A consecutive series of 200 ultrasound-guided
biopsies of the prostate have been analysed. In 121 patients, in whom malignancy was suspected by both digital
examination and ultrasound, 72 cancers were confirmed histologically. In 33 patients in whom digital rectal
examination suggested cancer but ultrasound was normal, 3 cancers were confirmed. In 30 patients with a
normal digital examination but a suspicious ultrasound appearance, 5 cancers were proven.
Key Words: Transrectal ultrasonography of the prostate; Prostatic biopsy; Imaging of the prostate by ultrasound.
References
Catalone, W.J. Epidemiology and etiology. In: prostatic
cancer. Edited by, Catalone, W.J., Grune & Stration,
Inc., New York, 1984, pp. 1-14.
Clements, R; Griffiths, G.J; Peeling, W.B et al. How
accurate is the index finger? A comparison of digital
and ultrasound examination of prostatic nodule. Clin
Radiol; 1988; 39: 87-89.
Cole, H.M. Diagnostic and therapeutic technology
assessment. (DATA) Transrectal UltrasonographyReassessment, JAMA, 1990; 263: 1563-1568.
Cooper, T.P. and Travis, R.M. Prostatic needle biopsy
using an Iowa trupet biopsy needle guided during
standard digital rectal examination. A comparison with
ultrasound controlled biopsy J. Urol; 1991; 146: 1079-
Din, K.E.E. and Rosette, J.J.M.C.H.D.L. Transrectal
ultrasonography of the prostate. Br. J. Urol, 1996; 78:
- 9.
Eaton A.C. The safety of transrectal biopsy of the
prostate as an outpatient investigation. Br. J. Urol;
; 53: 144- 149.
Fomage, B.D; Didier, H.T; Deglaire, M. et al. Real time
ultrasound-guided prostatic biopsy using a new
transrectal linear-array probe. Radiology, 1983; 146:
-548.
Fritzsche, P.J; Oxford, P.D; Ching, V.C. et al.
Correlation of transrectal sonographic findings in
patients with suspected and unsuspected prostatic
disease. J. Jrol, 1983; 130: 272-274.
Garber, S.J; Goldenberg, S.L; Cooperberg, P.L. et al.
Systemic transrectal ultrasound-guided biopsy of the
prostate. Can. Assoc. Radiol. J. 1984: 45: 387-390.
Griffith, G.J; Clements. R; Jones, D.R. et al. The
ultrasonic appearance of prostatic cancer with
histological correlation. Clin. Radiol, 1987; 38: 219-
Hardra, K. Tanahashi, Y. Igari, D et al. Clinical
evaluation of inside echo patterns in gray scale prostatic
echography. J. Urol, 1980; 124: 216-220.
Hastak, S.M; Gammelgaard, J. and Holm, H.H.
Ultrasonically guided transrectal biopsy in the
diagnosis of prostatic carcinoma. J. Jrol, 1982; 128: 69-
Holm. H.H. and Gammelgaard, J. Ultrasonically guided
precise needle placement in the prostate and seminal
vesicles. J. Urol, 1981; 123: 385-389.
Kadow, C; Gingell, J.C. and Penry, J.B. Prostatic
ultrasonography: a useful technique? Br. J Urol, 1985;
: 440-443.
Kaufman, J.J. and Schultz, J.L. Needle biopsy of the
prostate: a re-evaluation. J. Urol. 1962; 87: 167-169.
Lee F, Trop-Pedersen, S. Littrup, P.J. et al. Hypoechoic
lesions of the prostate: clinical prevalence of tumor
size, digital rectal examination and prostate specific
antigen. Radiology, 1989; 170: 29-32.
Lee, F; Littrup, P.J. McLeary, R.D. et al. Needle
aspiration and core biopsy of the prostate cancer:
comparative evaluation with biplanar transrectal
ultrasound guidance Radiology, 1987; 163: 515-520.
Leibowit, C.B. and Staub, P.G. Transrectal ultrasoundguided biopsy of the prostate: What you see is not what
you get. Aust. Radiol, 1996; 40: 240-243.
Lippmann, H.R, Ghiatas, A.A. and Sarosdy, M.F.
Systemic transrectal ultrasound guided prostate biopsy
after negative digitally directed prostatic biopsy. J.
Urol, 1992; 142: 827-829.
Peck, S. Needle biopsy of prostate. J. Urol, 1960; 83:
-178.
Poon, P.Y; McCallam, R.W; Henketman, M.M. et al.
Magnetic resonance imaging of the prostate.
Radiology, 1985; 154: 143-149.
Salo, J.O; Kivisaavi, L; Rannikko, S. and Lehtonen.
Computed tomography and transrectal ultrasound in the
assessment of local extension of prostatic cancer before
radical retropubic prostatectomy. J. Urol, 1987; 137:
- 438.
Torp-Pedersen, S.T. and Lee, F: Transrectal biopsy of
the prostate guided by transrectal ultrasound. Urol.
Clin. N. Amer, 1989;16: 703-711.
Trop-Pedersen, S; Lee, F; Littrup, P.J. et al. Transrectal
biopsy of the prostate guided with transrectal
ultrasound: longitudinal multi planner scanning.
Radiology, 1989; 170: 23-27.
Waterhouse, R.L. and Resnick, M.I. The use of
transrectal prostatic ultrasonography in the evolution of
patients with prostatic cancer. J. Urol, 1989; 141: 233-
Downloads
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
