Santiago CJ, Ayala GF, Balcazar VR

Language: Spanish
References: 7
Page: 195-200
PDF size: 319.02 Kb.

ABSTRACT

Objective: Knowing the frequency of the prostate cancer diagnosis in the Hospital Regional «Gral. I. Zaragoza», ISSSTE using as method the ultrasoundguided transrectal biopsy, in contrast to world literature.
Materials and methods: Transrectal prostatic biopsy was taken to all social security beneficiaries present, who fulfilled the inclusion criteria like specific prostatic antigen › 12 ng/dL, abnormal rectal tact and prostatic nodules. This procedure was carried out with high resolution ultrasound, and checked by the Service of Pathological Anatomy within a period between January 1° 2006 to April 30, 2007.
Results: 174 patients examined through transrectal biopsy. 111 were positive (63.7%) being the hypoecogenic nodules the most frequent (58.5%), the hyperecogenic nodules (20.8%), isoecogenic (18.9%) and mixed (1.8%); the area of more localization corresponded to the outlying area (70.2%), the central area (23.5%), transition area (6.3%). The range of 40-50 year-old age, (0%) from 51-60 years (30.6%), from 61-70 (46.9%), from 71-80 years old and (15.3%) from 81-90 years (7.2%). Within complications we found: hematuria (92%), rectus hemorraghe (85%), fever (3%) and only one presented sepsis (1.7%). The number of cuts carried out ranged between 8-10, taken in the outlying, central area and apex.
Conclusions: It was demonstrated that the combination of suspect tact rectal, antigen prostatic › 12 ngr/dL and the presence of prostatic vascular nodules have a high probability of positive results.

REFERENCES

1. Barrón AL, Arenas OJ, Vega SR. Cáncer de próstata diagnosticado por biopsia transrectal guiada por ultrasonido. Experiencia en dos años en el hospital de especialidades “Dr. Antonio Fraga Mouret”, Centro Médico Nacional “La Raza”, IMSS. CMU 2006; 21: 38-43.

2. García SMA, Figueroa GR. Experiencia con el ultrasonido transrectal de próstata y toma de biopsias para el diagnóstico de cáncer prostático en el Hospital Metropolitano. CMU 2002; 17: 197-201.

3. Morales FJ, Jornet J, Cervera J, Labrador T. Utilidad de la ecografía transrectal con Doppler color en el diagnóstico de cáncer de próstata. Estudio de 101 casos. SERAM 2001; 43:

4. Saavedra AJ, Stoopen M, Barois BV, Sánchez HR. Biopsia de la próstata guiada por ultrasonido transrectal. Experiencia de nueve años en 2016 pacientes. Anales de Radiología México 2004; 3(3): 181-9.

5. Aranibar QME, López OA, Castro GA, Cisneros M, González BS, Ponte RR, Calva AM. Eficacia del método empleado en biopsias guiadas por ultrasonido transrectal para la detección de cáncer de próstata en el departamento de imagen del Centro Médico ABC. Anales de Radiología México 2005; 4(3): 209-16.

6. Medina MC, Cadena González Y, Guerra Garzón A, Pérez Hidalgo JM. Comparación del uso de anestésico local versus inyección de lidocaína bajo guía ecográfica para el control del dolor en paciente sometidos a biopsia de Próstata. Actas urológicas españolas 2006; 30: 987-90.

7. Vázquez RA, F. QA. Seguridad y tolerancia de la punción-biopsia transrectal guiada por ultrasonido (TRUS), en el diagnóstico del carcinoma de próstata. SERAM 2007; 49: 417-23.