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Detection rate of clinically insignificant prostate cancer increases with repeat prostate biopsies.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Park, Bumsoo Jeon, Seong-Soo Ju, Sung-Ho Jeong, Byong-Chang Seo, Seong-Il Lee, Hyun-Moo Choi, Han-Yong
Description	Author Affiliation: Park B ( Department of Urology, Sungkyunkwan University School of Medicine, Seoul , Korea.)
Abstract	To analyze if clinically insignificant prostate cancer (CIPC) is more frequently detected with repeat prostate biopsies, we retrospectively analyzed the records of 2146 men diagnosed with prostate cancer after one or more prostate biopsies. The patients were divided into five groups according to the number of prostate biopsies obtained, e.g. group 1 had one biopsy, group 2 had two biopsies and group 3 had three biopsies. Of the 2146 patients diagnosed with prostate cancer, 1956 (91.1%), 142 (6.6%), 38 (1.8%), 9 (0.4%) and 1 (0.1%) men were in groups 1, 2, 3, 4 and 5, respectively. Groups 4 and 5 were excluded because of the small sample sizes. The remaining three groups (groups 1, 2 and 3) were statistically analyzed. There were no differences in age or prostate-specific antigen level among the three groups. CIPC was detected in 201 (10.3%), 28 (19.7%) and 9 (23.7%) patients in groups 1, 2 and 3, respectively (P<0.001). A multivariate analysis showed that the number of biopsies was an independent predictor to detect CIPC (OR=2.688 for group 2; OR=4.723 for group 3). In conclusion, patients undergoing multiple prostate biopsies are more likely to be diagnosed with CIPC than those who only undergo one biopsy. However, the risk still exists that the patient could have clinically significant prostate cancer. Therefore, when counseling patients with regard to serial repeat biopsies, the possibility of prostate cancer overdiagnosis and overtreatment must be balanced with the continued risk of clinically significant disease.
File Format	HTM / HTML
ISSN	1008682X
e-ISSN	17457262
DOI	10.1038/aja.2012.123
Journal	Asian Journal of Andrology
Issue Number	2
Volume Number	15
Language	English
Publisher	Wolters Kluwer - Medknow
Publisher Date	2013-03-01
Publisher Place	China
Access Restriction	Open
Subject Keyword	Discipline Urology Prostatic Neoplasms Diagnosis Early Detection Of Cancer Image-guided Biopsy Pathology Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Urology

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