Advertisement
Researchers used an advanced biopsy technique called stereotactictransperineal prostate biopsy (STPB). This was performed on patients withpersistent elevated prostate specific antigen (PSA) levels who previously hadat least one negative office biopsy. All patients had received transrectalprostate biopsies (TRPB), administered by a urologist.
Advertisement
"Men who have negative transrectal biopsies and continue to have elevatedPSA levels should consider STPB because 40% will harbor malignancy," saysMichelle Braccioforte, director of research and education for the ProstateCancer Foundation of Chicago. "Our level of confidence is greatly enhancedwith regards to the presence or absence of cancer, and more specifically, theexact location of the cancer within the prostate."
STPB is performed by taking a median of 40 samples of the prostate throughthe perineum while the patient is under general anesthesia. Performed as anoutpatient procedure, it allows more comprehensive sampling, compared to thetransrectal method, which takes fewer samples through the rectum. Inaddition, by taking more samples during STPB, the exact location of the cancercan be pinpointed.
Between April 2004 and January 2008, 747 patients with high PSA levelswere studied. All patients had been tested using TRPB at least once and allresults had been negative. All patients received the STPB. Biopsy resultsidentified the presence of cancer in 291 (39%) of the patients.
One in six men in the U.S. will be diagnosed with prostate cancer, themost common form of cancer among men. For those with elevated or rising PSAlevels, this is a sign that further testing should be administered to rule outprostate cancer.
The Prostate Cancer Foundation of Chicago, located in Westmont, IL, is anot-for-profit organization that conducts ongoing research intended to improvethe diagnosis and treatment of prostate cancer. For more information, visithttp://www.chicagoprostatefoundation.org to download or call Michelle at630.654.2515.
SOURCE The Prostate Cancer Foundation of Chicago