PMID- 11118917 OWN - NLM STAT- MEDLINE DCOM- 20010531 LR - 20191104 IS - 0929-8266 (Print) IS - 0929-8266 (Linking) VI - 12 IP - 2 DP - 2000 Dec TI - Correlations among prostatic biopsy results, transrectal ultrasound findings and PSA levels in diagnosing prostate adenocarcinoma. PG - 103-13 AB - OBJECTIVE: The objective of this study was to evaluate transrectal ultrasound (TRUS) findings and prostate-specific antigen (PSA) levels in relation to prostatic biopsy results and to analyze their individual and combined performances in diagnosing prostate adenocarcinoma (PAC). METHODS: Men (n=143) with PSA levels above 4 ng/ml underwent TRUS and randomized ultrasound-guided prostatic biopsy through the peripheral zone, including additional hypoechoic nodules biopsies, if they were noted on TRUS. Data related to TRUS, biopsy, and PSA level results were then correlated. RESULTS: A significant correlation between TRUS images suspicious for PAC and a biopsy-confirmed diagnosis of PAC, or between the lack of such images and a negative biopsy result, was not found. However, a significant correlation was found between positive biopsy results and PSA levels greater or equal to 10 ng/ml. The sensitivity of transrectal ultrasound in making a diagnosis of PAC was 63%, whereas its specificity was 73%. CONCLUSION: We conclude that while the separate performances of these examinations were not effective in diagnosing PAC, the integrated use of these methods was more adequate for making the diagnosis. FAU - Kokeny, G P AU - Kokeny GP AD - Department of Radiology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. FAU - Cerri, G G AU - Cerri GG FAU - de Oliveira Cerri, L M AU - de Oliveira Cerri LM FAU - de Barros, N AU - de Barros N LA - eng PT - Comparative Study PT - Journal Article PL - Ireland TA - Eur J Ultrasound JT - European journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology JID - 9440414 RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Adenocarcinoma/blood/diagnostic imaging/*pathology MH - Adult MH - Aged MH - Aged, 80 and over MH - Biopsy MH - Chi-Square Distribution MH - Humans MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Prostate-Specific Antigen/blood MH - Prostatic Neoplasms/blood/diagnostic imaging/*pathology MH - Ultrasonography EDAT- 2000/12/19 11:00 MHDA- 2001/06/02 10:01 CRDT- 2000/12/19 11:00 PHST- 2000/12/19 11:00 [pubmed] PHST- 2001/06/02 10:01 [medline] PHST- 2000/12/19 11:00 [entrez] AID - S0929-8266(00)00100-2 [pii] AID - 10.1016/s0929-8266(00)00100-2 [doi] PST - ppublish SO - Eur J Ultrasound. 2000 Dec;12(2):103-13. doi: 10.1016/s0929-8266(00)00100-2.