Percent of cancer in the biopsy set predicts pathological findings after prostatectomy.

J Urol 2002 May;167(5):2032-5; discussion 2036

Department of Urologic Surgery and Pathology, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

Purpose: The ability to use pretreatment variables to identify patients with organ confined prostate cancer continues to challenge physicians. We examined information available preoperatively, including prostate needle biopsy, clinical stage and preoperative prostate specific antigen (PSA), and evaluated these data based on pathological variables after radical retropubic prostatectomy.

Materials And Methods: We reviewed results in 135 consecutive patients who underwent radical retropubic prostatectomy at a single institution. Needle biopsy information, such as the number of cores, percent of tumor per biopsy set, laterality of positive cores and Gleason sum, were compared with pathological data on the radical retropubic prostatectomy specimen, including pathological stage, Gleason sum and tumor volume. Clinical data, including biopsy information and pathological findings, were compared using univariate and multivariate models.

Results: Overall total PSA, percent of tumor in the biopsy and bilateral positive cores directly correlated with tumor volume (p <0.01). Also, increasing PSA, increasing percent of tumor in the biopsy and bilateral positive cores were associated with increased risks of extracapsular extension (p <0.01).

Conclusions: From the information readily available from prostate needle biopsy these results suggest that percent of tumor in the biopsy is a useful predictor of pathological stage and tumor volume. Furthermore, including percent of tumor in the biopsy set and bilateral disease with traditional variables such as serum PSA and clinical stage may improve pretreatment tumor staging. This finding adds additional credence to the inclusion of percent of tumor in the biopsy set in models for the preoperative prediction of pathological stage and should be factored into discussions with patients on treatment options.

Download full-text PDF

Source
http://dx.doi.org/10.1016/s0022-5347(05)65077-xDOI Listing
May 2002
3 Reads

Publication Analysis

Top Keywords

radical retropubic
12
positive cores
8
gleason sum
8
tumor biopsy
8
percent tumor
8
needle biopsy
8
retropubic prostatectomy
8
pathological findings
8
tumor volume
8
biopsy set
8
biopsy
6
pathological
5
prostatectomymaterials methods
4
findings compared
4
retropubic prostatectomymaterials
4
biopsy pathological
4
including biopsy
4
135 consecutive
4
consecutive patients
4
data including
4

Similar Publications