Single positive core prostate cancer in a 12-core transrectal biopsy scheme: Clinicopathological implications compared with multifocal counterpart
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Ahn, H.J. | - |
dc.contributor.author | Ko, Y.H. | - |
dc.contributor.author | Jang, H.A. | - |
dc.contributor.author | Kang, S.G. | - |
dc.contributor.author | Kang, S.H. | - |
dc.contributor.author | Park, H.S. | - |
dc.contributor.author | Lee, J.G. | - |
dc.contributor.author | Kim, J.J. | - |
dc.contributor.author | Cheon, J. | - |
dc.date.accessioned | 2021-09-08T09:05:14Z | - |
dc.date.available | 2021-09-08T09:05:14Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 2005-6737 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/118267 | - |
dc.description.abstract | Purpose: The incidence of single positive core prostate cancer at the time of biopsy appears to be increasing in the prostate-specific antigen (PSA) era. To determine the clinical implication of this disease, we analyzed surgical and pathological characteristics in comparison with multiple positive core disease. Materials and Methods: Among 108 consecutive patients who underwent robotic radical prostatectomy following a diagnosis of prostate cancer based on a 12-core transrectal biopsy performed by the same method in a single institute, outcomes from 26 patients (Group 1) diagnosed on the basis of a single positive biopsy core and from 82 patients (Group 2) with multiple positive biopsy cores were analyzed. Results: The preoperative PSA value, Gleason score, prostate volume, and D'Amico's risk classification of each group were similar. The proportion of intermediate + high-risk patients was 69.2% in Group 1 and 77.9% in Group 2 (p=0.22). Total operative time and blood loss were similar. Based on prostatectomy specimens, only 3 patients (11.5%) in Group 1 met the criteria for an indolent tumor (7.31% in Group 2). Although similarities were observed during preoperative clinical staging (p=0.13), the final pathologic stage was significantly higher in Group 2 (p=0.001). The positive-margin rate was also higher in Group 2 (11.5% vs. 31.7%, p=0.043). Despite similarity in upstaging after prostatectomy in each group (p=0.86), upgrading occurred more frequently in Group 1 (p=0.014, 42.5% vs. 19.5%). No clinical parameters were valuable in predicting upgrading. Conclusions: Most single positive core prostate cancer diagnoses in 12-core biopsy were clinically significant with similar risk stratification to multiple positive core prostate cancers. Although the positive-margin rate was lower than in multiple positive core disease, an increase in Gleason score after radical prostatectomy occurred more frequently. © The Korean Urological Association, 2010. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.subject | prostate specific antigen | - |
dc.subject | adult | - |
dc.subject | article | - |
dc.subject | biopsy technique | - |
dc.subject | cancer grading | - |
dc.subject | cancer risk | - |
dc.subject | cancer staging | - |
dc.subject | controlled study | - |
dc.subject | Gleason score | - |
dc.subject | human | - |
dc.subject | human tissue | - |
dc.subject | intermethod comparison | - |
dc.subject | major clinical study | - |
dc.subject | male | - |
dc.subject | needle biopsy | - |
dc.subject | operation duration | - |
dc.subject | postoperative period | - |
dc.subject | preoperative evaluation | - |
dc.subject | preoperative period | - |
dc.subject | prostate adenocarcinoma | - |
dc.subject | prostate biopsy | - |
dc.subject | prostatectomy | - |
dc.subject | risk assessment | - |
dc.subject | robotics | - |
dc.subject | transrectal ultrasonography | - |
dc.title | Single positive core prostate cancer in a 12-core transrectal biopsy scheme: Clinicopathological implications compared with multifocal counterpart | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Ko, Y.H. | - |
dc.contributor.affiliatedAuthor | Kang, S.G. | - |
dc.contributor.affiliatedAuthor | Kang, S.H. | - |
dc.contributor.affiliatedAuthor | Park, H.S. | - |
dc.contributor.affiliatedAuthor | Lee, J.G. | - |
dc.contributor.affiliatedAuthor | Kim, J.J. | - |
dc.contributor.affiliatedAuthor | Cheon, J. | - |
dc.identifier.doi | 10.4111/kju.2010.51.10.671 | - |
dc.identifier.scopusid | 2-s2.0-78149301233 | - |
dc.identifier.bibliographicCitation | Korean Journal of Urology, v.51, no.10, pp.671 - 676 | - |
dc.relation.isPartOf | Korean Journal of Urology | - |
dc.citation.title | Korean Journal of Urology | - |
dc.citation.volume | 51 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 671 | - |
dc.citation.endPage | 676 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001489189 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordPlus | prostate specific antigen | - |
dc.subject.keywordPlus | adult | - |
dc.subject.keywordPlus | article | - |
dc.subject.keywordPlus | biopsy technique | - |
dc.subject.keywordPlus | cancer grading | - |
dc.subject.keywordPlus | cancer risk | - |
dc.subject.keywordPlus | cancer staging | - |
dc.subject.keywordPlus | controlled study | - |
dc.subject.keywordPlus | Gleason score | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | human tissue | - |
dc.subject.keywordPlus | intermethod comparison | - |
dc.subject.keywordPlus | major clinical study | - |
dc.subject.keywordPlus | male | - |
dc.subject.keywordPlus | needle biopsy | - |
dc.subject.keywordPlus | operation duration | - |
dc.subject.keywordPlus | postoperative period | - |
dc.subject.keywordPlus | preoperative evaluation | - |
dc.subject.keywordPlus | preoperative period | - |
dc.subject.keywordPlus | prostate adenocarcinoma | - |
dc.subject.keywordPlus | prostate biopsy | - |
dc.subject.keywordPlus | prostatectomy | - |
dc.subject.keywordPlus | risk assessment | - |
dc.subject.keywordPlus | robotics | - |
dc.subject.keywordPlus | transrectal ultrasonography | - |
dc.subject.keywordAuthor | Biopsy | - |
dc.subject.keywordAuthor | Prostatectomy | - |
dc.subject.keywordAuthor | Prostatic neoplasms | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.