Transrektalen Prostatabiopsie

HistoScanning-gesteuerte perineale Prostatabiopsie

BPH und Dampfbad

Die ultraschallgesteuerte Prostatabiopsie ist das Diagnostikum der Wahl bei Verdacht auf ein Prostatakarzinom. In der Primärdiagnostik hat sich eine bisfache systematische Stanzbiopsie als Standardverfahren etabliert. Neben dem transrektalen Zugangsweg ist eine transperineale Biopsie möglich. Die histopathologische Aufarbeitung der Stanzzylinder sollte immer den allgemein gültigen Standards entsprechen, um eine optimale Beurteilung des Ergebnisses zu gewährleisten.

Die multiparametrische MRT mit T2-gewichtenten Sequenzen, Kontrastmitteldynamik und diffusionsgewichteten Sequenzen bei entsprechend höherer Sensitivität und Spezifität weist im Vergleich zu Ultraschallverfahren deutliche Vorteile auf. Beide Techniken zeigen in Kombination vielversprechende klinische Ergebnisse.

Da bei der gezielten bildunterstützten Fusionsbiopsie von tumorsuspekten Arealen noch transrektalen Prostatabiopsie relevanter Anteil von Tumoren übersehen wird, sollte stets eine zusätzliche systematische Biopsie erfolgen. Skip to main content. Advertisement Hide. This is a preview of subscription content, log in to check access. Google Scholar. Astraldi A Diagnosis of cancer of the prostate: biopsy by rectal route.

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