Lesion Targeted CT-Guided Transgluteal Prostate Biopsy in Combination With Prebiopsy MRI in Patients Without Rectal Access

Lesion Targeted CT-Guided Transgluteal Prostate Biopsy in Combination With Prebiopsy MRI in Patients Without Rectal Access

With prostate and colorectal malignancies being the most common cancers in men, elevated prostate specific antigen (PSA) in patients without rectal access due to prior surgery poses a diagnostic dilemma. We report the first use of CT-guided biopsy in combination with prebiopsy MRI in 2 patients with...

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Bibliographic Details
Main Authors: Iztok Caglic, S. Breznik, J. Matela, T. Barrett
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Urology Case Reports
Subjects:
Prostate cancer
Transgluteal biopsy
CT
Abdominoperineal resection
Prebiopsy MRI
Online Access:http://www.sciencedirect.com/science/article/pii/S221444201630119X
Description
Summary:With prostate and colorectal malignancies being the most common cancers in men, elevated prostate specific antigen (PSA) in patients without rectal access due to prior surgery poses a diagnostic dilemma. We report the first use of CT-guided biopsy in combination with prebiopsy MRI in 2 patients with a clinical suspicion of prostate cancer and no rectal access. In both cases, a diagnostic multiparametric MRI of the prostate was performed to detect and to localize a potential suspicious lesion. The localization served as a cognitive map for guiding needle placement using a CT-guided transgluteal approach.
ISSN:2214-4420

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