Comparison of 12, 14 And 16 Core Prostate Biopsies in Detecting Prostate Cancer in Patients: A Comparative Study

Suleyman Sagır, Muslum Ergun
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Abstract

Prostate cancer is one of the most common cancers in men and early detection is vital for effective treatment. The traditional method for diagnosis includes the use of prostate biopsies, where a needle is used to extract tissue samples from the prostate gland to be analyzed for cancerous cells. Objective: To evaluate and compare the diagnosis rates of benign, malign, and intermediate conditions in patients subjected to 12-core, 14-core, and 16-core biopsy techniques. Methods: The retrospective study was conducted on patients who visited our clinic and underwent prostate biopsy between the years 2013 and 2021. This study revolved around a careful comparative examination of the diagnostic outcomes from three different prostate biopsy techniques – 12-core, 14-core, and 16-core biopsy. Reults: The findings indicated that there were no notable variations in age or PSA levels among the groups. The 12-core group showed 44.8% benign, 17.8% malign, and 37.4% borderline cases. The 14-core group revealed 43.1% benign, 31.4% malign, and 25.5% borderline cases. The 16-core group had 32% benign, 42.7% malign, and 25.2% borderline cases (p<0.001). Conclusions: The 16-core biopsy yielded the highest malignancy detection.
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12、14、16次核心前列腺活检检测前列腺癌的比较研究
前列腺癌是男性最常见的癌症之一,早期发现对有效治疗至关重要。传统的诊断方法包括使用前列腺活组织检查,即用针从前列腺中提取组织样本进行癌细胞分析。目的:评价和比较12核、14核和16核活检技术对良性、恶性和中度病变的诊断率。方法:回顾性研究2013年至2021年间来我院就诊并行前列腺活检的患者。本研究对三种不同的前列腺活检技术(12核、14核和16核)的诊断结果进行了仔细的比较检查。结果:研究结果表明,各组之间年龄和PSA水平无显著差异。12核组44.8%为良性,17.8%为恶性,37.4%为交界性。14核组显示43.1%为良性,31.4%为恶性,25.5%为边缘性。16核组32%为良性,42.7%为恶性,25.2%为边缘性(p<0.001)。结论:16核活检的恶性肿瘤检出率最高。
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