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Application of Prostate US for Advanced Techniques in Prostate Biopsy and Prostate Cancer Staging

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Prostate Ultrasound

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Abstract

Transrectal ultrasound (TRUS) is one of the most frequently performed office procedures in urologist offices. However, the interpretation of the obtained images has not been fully utilized. During the TRUS procedure, unusual situations may be encountered. In addition, unusual patients, such as those who have previously undergone a radical prostatectomy or those without an anus, can be encountered. In this chapter, advanced techniques for prostate biopsy under such unusual situations are described. The second part of the chapter describes the underutilized TRUS staging for prostate cancer. TRUS will not show microscopic tumor extension beyond the capsule. However, careful examination of the prostate can detect subtle findings that suggest microscopic extension of the disease. By using such staging criteria for detecting microscopic tumor extension, the accuracy of TRUS staging can be significantly improved.

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Abbreviations

ECE:

Extracapsular extension

NPV:

Negative predictive value

PPV:

Positive predictive value

ROC:

Receiver-operating characteristic

SVI:

Seminal vesicle invasion

TRUS:

Transrectal ultrasound

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Author information

Authors and Affiliations

  1. Department of Urology and Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, 1600 Divisadero St A634, San Francisco, CA, 94143-1695, USA

    Katsuto Shinohara M.D.

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  1. Katsuto Shinohara M.D.
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Correspondence to Katsuto Shinohara M.D. .

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Editors and Affiliations

  1. Medical Director of Clinical Research, Co-Director of Urologic Oncology, Section of Urology and Renal Transplantation, Virginia Mason, SEATTLE, Washington, USA

    Christopher R. Porter

  2. Section of Urology and Renal Transplantation, Virginia Mason, Seattle, Washington, USA

    Erika M. Wolff

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Shinohara, K. (2015). Application of Prostate US for Advanced Techniques in Prostate Biopsy and Prostate Cancer Staging. In: Porter, C., Wolff, E. (eds) Prostate Ultrasound. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1948-2_13

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  • DOI: https://doi.org/10.1007/978-1-4939-1948-2_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1947-5

  • Online ISBN: 978-1-4939-1948-2

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