title: [Prostatic rebiopsy. Prognosis factors of the anatomopathologic result].
abstract: The indications for repeat prostate needle biopsy after a previous biopsy are not defined. We examined 107 prostate biopsies (in 98 patients) without a diagnosis of malignancy, which we repeat. Carcinoma was detected in 31 patients (31.6%). We didn't find statistic relationship between the repeat biopsy's outcome and: interval between biopsy and repeat biopsy, PSA value, PSA density (biopsy), PSAD of the transitional area (PSAD ad., on repeat biopsy). We found relationship with: prostatic weight (p = 0.002 on the biopsy, p = 0.0002 on the repeat biopsy), volume of the transitional area (p = 0.02 on the biopsy, p = 0.0001 on the repeat biopsy), PSA value (p = 0.02, on the repeat biopsy), PSAD ad. (p = 0.002, on the repeat biopsy), and with PSA velocity (p = 0.008). We only found clinic usefulness for the PSA velocity: patients with PSA velocity greater than 1 ng/ml/year are at high risk for prostate carcinoma on the repeat biopsy, specially in small prostates.
authors.affiliation: Servicio de Urología, Hospital Universitario Miguel Servet, Zaragoza.
authors.forename: P
authors.initials: P
authors.lastname: Gil Martínez
authors.forename: C
authors.initials: C
authors.lastname: Allepuz Losa
authors.forename: M J
authors.initials: MJ
authors.lastname: Gil Sanz
authors.forename: J
authors.initials: J
authors.lastname: Oliva Encina
authors.forename: V
authors.initials: V
authors.lastname: Andrés Lázaro
authors.forename: P
authors.initials: P
authors.lastname: Valdivia Navarro
authors.forename: A
authors.initials: A
authors.lastname: Borque Fernando
authors.forename: L
authors.initials: L
authors.lastname: Plaza Mas
authors.forename: L A
authors.initials: LA
authors.lastname: Rioja Sanz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D011471:Prostatic Neoplasms / Q000473:pathology*; D012189:Retrospective Studies