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Article
Correlations Between Preoperative Measurement of Prostate Volume by Transabdominal and Transrectal Ultrasound with Open Prostatectomy

Authors: Auda Hassan Ali Al.Jabbiri*, --- Mohanad M.H. Al-Saed --- Usama S. Al.Nasiri
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 4 Pages: 569-574
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Despite being formally included in the assessment of patients presenting with lower urinary tract symptoms (LUTS), transrectal ultrasonography (TRUS) is not routinely offered to these patients. Data exist on the superiority of TRUS over transabdominal ultrasound in accurately predicting prostate volume. OBJECTIVE: To evaluate which of these methods are more accurate in calculation of prostate volume. The volume is most commonly measured using the formula, prostate volume=height×width×length/6, which is derived considering the gland as ellipsoid, PATIENTS AND METHODS: Thirty five patients aged (60-75) years; with mean age (65.1±4.016) years and mean of serum prostate specific antigen (PSA) (1.429±0.3149) complaining from LUTS due to benign prostatic hyperplasia (BPH) underwent suprapubic prostatectomy .TRUS was performed in all patients preoperatively and calculations of the prostate volume were made. These were compared with respective transabdominal calculations of the prostate volume as well as the enucleated specimen weight. RESULTS: TRUS slightly underestimated weight by (8.6%).while transabdominal U/S overestimated it by (94.3%). Pearson correlation analysis indicated TRUS as a better predictor of weight (0.661) at P-value of <0.001 (extremely significant) followed by transabdominal U/S (0.465) at P-Value of <0.01 (highly significant). CONCLUSION: TRUS is more accurate than transabdominal U/S in predicting adenoma volume in patients with BPH


Article
Value of Fine Needle Aspiration Cytology Under Ultra-Sound Guided Biopsy in the Diagnosis of Prostatic Cancer

Authors: Usama S.Al-Nasiri --- Adil H Hamoodi --- Raghib J Hameed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2014 Volume: 13 Issue: 3 Pages: 384-389
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: The detection of carcinoma of prostate (CaP )by trans rectal ultrasound (TRUS) depends on the feature produced by the new growth , which leads to changes in the glandular —stromal architecture, appears as Changes in the echogenicity of the prostatic lesion. The fine needle can be guided to the area of suspicion and cytology is done.OBJECTIVE: This prospective study was conducted to demonstrate the usefulness of the fine needle aspiration cytology (FNAC) under transrectal ultrasound (TRUS) guidance in detection of carcinoma of the prostate (CaP).METHOD AND PATIENTS: Fifty male patients aged between (46 - 86) years, were chosen selectively, all with voiding symptoms & suspicion of CaP from an elevated prostate specific antigen (PSA) above the level of 4 ngml in all patients. Thirty patients had abnormal finding on digital rectal examination (DRE), thirty three patients had TRUS abnormal findings. This procedure was carried out in out – patient basis. The cytological results were compared with the tissue diagnoses obtained by surgical interventions.RESULTS:The cytological results revealed 24 case of malignancy & benign in the rest 26 case (23 case of BPH & 3cases of prostatitis).Malignancy was correctly diagnosed by using cytology in 24 out of 28 case confirmed by histopathology as CaP. One case was considered initially as false positive, the cytological result consistent with adenocarcinoma but the histopathology failed to prove it.The statistical analysis revealed that the sensitivity, specificity and accuracy were 85%. 100% & 92% respectively.CONCLUSION: We conclude that FNAC under TRUS guide can be considered as an initial safe cost effective & reliable method for diagnosing of Prostate cancer.

Keywords

KEY WORD: prostate --- FNA --- TRUS --- PSA --- cytology.


Article
Accuracy of Perineal Percutaneous Fine Needle Aspiration Cytology (FNAC) of Prostate under Ultra- Sound in Comparism with Transrectal Aspiration in Diagnosis of Prostatic Cancer

Authors: Hussain Abady Aljebori --- Hiba Ahmed Gaidan --- Suhaila Sleem Kareem
Journal: Iraqi Journal of Cancer and Medical Genetics المجلة العراقية للسرطان والوراثة الطبية ISSN: 20786123 Year: 2017 Volume: 10 Issue: 2 Pages: 196-203
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Prostatic carcinoma is the commonest internal malignancy of adult males. Patients usually presenting withvoiding symptoms. Clinical suspicion of prostatic carcinoma depends on finding of one or more of the followings; hard prostaticnodule(s) on digital rectal examination (DRE), hypoechoic lesion on transrectal ultrasonography (TRUS), and/or highserum level of prostatic specific antigen (PSA). Final diagnosis depends on FNAC and/or histopathology. Objective: This is acase control prospective study designed to evaluate the usefulness of FNAC of prostate through perineal skin under ultrasoundinstead of transrectal aspiration in diagnosis of suspicious prostatic conditions.Patients and Methods: One hundred and ten males with voiding symptoms and clinical suspicion of prostatic carcinoma wereparticipated in the study. Their ages were between 45 and 92 years. The aspiration was carried out as outpatient procedure.Results: Cytopathological results were; 64 (58.18%) positive, 4 (3.64%) suspicious, and 40 (36.36%) negative for prostaticcancer. Two specimens (1.82%) were inadequate for proper cytopathology. Results of histopathological examination of resectedspecimens from the same patients was very close to that of cytopathology with only two false positive and one falsenegative results. There was no any mentioned complication following aspiration, and sensitivity, specificity, and accuracywere 98%, 95%, and 91.81% respectively, and all results were statistically significant with p-values <0.05.Conclusion: Percutaneous perineal FNAC of prostate under ultrasound is a safe, reliable, cost effective, and as accurate astransrectal FNAC in diagnosis of prostatic cancer.

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