Still a place for the classical systematic sextant technique? Cancer detection rates and complications in 1025 consecutive prostatic biopsies

Massimo Maffezzini, Lorenzo Gavazzi, Tiziana Calcagno, Giacomo Capponi, Roberto Bandelloni

Research output: Contribution to journalArticle

Abstract

Objectives: To verify if there might still be an indication to the sextant biopsy technique reviewed the cancer detection rate obtained and the complications encountered during a five years interval, at our hospital. Methods: From January 1997 to December 2002 we have submitted to prostatic biopsy a total of 1025 consecutive patients with a clinical suspect of prostate cancer. A total of six cores were obtained in all the patients with an additional core at suspect lesions. Results: Overall, prostate cancer was present in the biopsies of 444 of 1025 patients giving a detection rate of 43.3%. In patients with serum PSA levels between 4.1 and 10 ng/ml., 169 of 466 biopsies were positive, for a detection rate of 36.3%. An increase in percentage of positivity was observed with increasing decades of age. Overall complication rate was 1.4%. Conclusions: In patients older than 70 years, and with PSA levels higher than 10 ng/ml, the sextant technique may offer cancer detection rates comparable with techniques using an increased number of cores, and with lower complication rates.

Original languageEnglish
Pages (from-to)106-108
Number of pages3
JournalArchivio Italiano di Urologia e Andrologia
Volume77
Issue number2
Publication statusPublished - Jun 2005

Keywords

  • Cancer detection rates
  • Complications
  • Prostate cancer diagnosis
  • Sextant biopsy

ASJC Scopus subject areas

  • Nephrology
  • Urology

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