scholarly journals Temporal Trend in Incidental Prostate Cancer Detection at Surgery for Benign Prostatic Hyperplasia

Urology ◽  
2018 ◽  
Vol 122 ◽  
pp. 152-157 ◽  
Author(s):  
Paolo Capogrosso ◽  
Umberto Capitanio ◽  
Emily A. Vertosick ◽  
Eugenio Ventimiglia ◽  
Francesco Chierigo ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Benign Prostatic Hyperplasia ◽  
Cancer Detection ◽  
Temporal Trend ◽  
Prostatic Hyperplasia ◽  
Incidental Prostate Cancer ◽  
Prostate Cancer Detection

scholarly journals Incidence of incidental cancer in transurethral resection of prostate specimens: a 10-year retrospective analysis

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Döndü Nergiz ◽  
Hülya Tosun Yıldırım ◽  
Şenay Yıldırım
Keyword(s):  
Prostate Cancer ◽  
Benign Prostatic Hyperplasia ◽  
Cancer Detection ◽  
Transurethral Resection ◽  
Prostatic Hyperplasia ◽  
Clinicopathological Parameters ◽  
Incidental Prostate Cancer ◽  
Prostate Cancer Detection ◽  
Cancer Group ◽  
Significant Difference

Abstract Background Prostate cancer can be detected incidentally in patients undergoing transurethral resection of the prostate for benign prostatic hyperplasia. Therefore, it is very important that the transurethral resection of the prostate specimen is evaluated carefully for accurate grading and staging. The aim of this study was to investigate the frequency of incidental prostate cancer and its relationship with clinicopathological findings. Methods The study included a total of 900 patients, who underwent transurethral resection of the prostate for benign prostatic hyperplasia treatment between June 2010 and June 2020. Patient age, prostate-specific antigen (PSA) levels and resected prostate weight were assessed, and the tumor stage, Gleason grade group, lymphovascular and perineural invasion status were also evaluated in the incidental prostate cancer group. The association between these parameters and prostate cancer detection was analyzed. Results Incidental detection of prostate cancer was determined at the rate of 13.3%. The incidental prostate cancer group had a significantly higher mean age and PSA levels compared to the benign prostatic hyperplasia group. The weight of the resected specimen had no impact on the incidence of incidental prostate cancer. Of the total 120 incidental prostate cancer cases, 59 (49.2%) were stage T1a and 61 (50.8%) were stage T1b. No significant difference was determined between the T1 stages and age distribution, but a statistically significant difference was determined in the other clinicopathological parameters. Conclusions The results of this study demonstrated that the incidence of incidental prostate cancer detection was related to age and PSA levels and increased, especially in those aged ≥ 60 years and/or PSA level ≥ 4 ng/mL. To avoid overlooking incidental prostate cancer in these patients, it can be recommended that material is sufficiently sampled and carefully evaluated, and when necessary, all resected specimens are examined. Although no significant correlation was determined between specimen weight and the incidence of incidental prostate cancer, as a significant difference was determined in T1 stages, this suggests that the amount of material evaluated could change the sub-stage.

scholarly journals Is there a PSA cut-off value indicating incidental prostate cancer in patients undergoing surgery for benign prostatic hyperplasia?

2021 ◽  
Vol 93 (1) ◽  
pp. 31-34
Author(s):  
Senol Tonyali ◽  
Cavit Ceylan ◽  
Erdogan Aglamis ◽  
Serkan Dogan ◽  
Sedat Tastemur ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Benign Prostatic Hyperplasia ◽  
Prostate Biopsy ◽  
Specific Antigen ◽  
Digital Rectal Examination ◽  
Clinical Problem ◽  
Prostatic Hyperplasia ◽  
Open Prostatectomy ◽  
Incidental Prostate Cancer ◽  
Preoperative Serum

Aim: To investigate incidental prostate cancer (IPCa) rate and to determine prostate specific antigen (PSA) cut-off value indicating PCa in patients who underwent surgery by being diagnosed with benign prostatic hyperplasia (BPH) clinically or by standard prostate biopsy. Methods: Data of 317 patients, who underwent transurethral resection of the prostate (TURP) or open prostatectomy (OP) with pre-diagnosis of BPH, were evaluated retrospectively. The examined parameters included patients’ demographics, preoperative serum PSA values, digital rectal examination (DRE) findings, surgical method, histopathological findings and Gleason Scores.Results: A total of 317 patients were included the study. The median age of patients was 69 years (min: 51-max: 79) and the median PSA value was 3.24 ng/dl (min: 0.17-max: 34.9). In 21 patients (6.6%); DRE findings were in favor of malignancy, but prostate biopsy resulted as BPH. While 281 (88.6%) of the patients underwent TURP, 36 (11.4%) underwent open prostatectomy. PCa was detected in 21 (6.6%) patients. PSA was statistically higher in patients who underwent OP compared to patient who underwent TUR-P, 5.9 (min: 1.2 - max: 27.6, IR: 8.7) vs. 2.8 (min: 0.1-max: 34.9, IR: 4.2) ng/dl, p < .001. The rate of IPCa among four PSA group was similar (p = 0.46). There was no difference between the rate of IPCa in patients younger and older than 70 years, (p = 0.11). Please change whole sentence as 'The median PSA level was slightly higher in patients diagnosed with BPH compared to patients diagnosed with IPCa, 3.2 (min: 0.1-max: 34.9) vs. 2.7 (min: 0.3-max: 26.5) ng/dL, p = 0.9. Conclusions: IPCa still remains an important clinical problem. We were not able to find any correlation of PSA and age with incidental PCa.

scholarly journals Incidental Prostate Cancer in Transurethral Resection of the Prostate Specimens in the Modern Era

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Brandon Otto ◽  
Christopher Barbieri ◽  
Richard Lee ◽  
Alexis E. Te ◽  
Steven A. Kaplan ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Detection ◽  
Tertiary Care ◽  
Cancer Detection Rate ◽  
Incidental Prostate Cancer ◽  
Prostate Cancer Detection ◽  
Benign Pathology ◽  
Tertiary Care Institution ◽  
Modern Era ◽  
Pathology Specimen

Objectives.To identify rates of incidentally detected prostate cancer in patients undergoing surgical management of benign prostatic hyperplasia (BPH).Materials and Methods.A retrospective review was performed on all transurethral resections of the prostate (TURP) regardless of technique from 2006 to 2011 at a single tertiary care institution. 793 men (ages 45–90) were identified by pathology specimen. Those with a known diagnosis of prostate cancer prior to TURP were excluded (n=22) from the analysis.Results.760 patients had benign pathology; eleven (1.4%) patients were found to have prostate cancer. Grade of disease ranged from Gleason3+3=6to Gleason3+4=7. Nine patients had cT1a disease and two had cT1b disease. Seven patients were managed by active surveillance with no further events, one patient underwent radiation, and three patients underwent radical prostatectomy.Conclusions.Our series demonstrates that 1.4% of patients were found to have prostate cancer, of these 0.5% required treatment. Given the low incidental prostate cancer detection rate, the value of pathologic review of TURP specimens may be limited depending on the patient population.

scholarly journals PD10-06 COMPARISON OF INCIDENTAL PROSTATE CANCER DETECTION BETWEEN HOLEP AND BIPOLAR TURP

2019 ◽  
Vol 201 (Supplement 4) ◽  
Author(s):  
Wen Dong* ◽  
Chun Jiang ◽  
Weibin Xie ◽  
Jian Huang ◽  
Hao Huang ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Detection ◽  
Incidental Prostate Cancer ◽  
Prostate Cancer Detection
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