Limitations of a contemporary prostate biopsy: the blind march forward.
In an attempt to reduce morbidity, focal targeted therapies and active surveillance have become increasingly popular treatment choices for localized prostate cancer. However, these modalities rely heavily on accurate and reliable tumor localization information provided by a prostate biopsy. Evidence that our contemporary biopsy techniques can do little more than detect some prostate cancers is notably lacking. What is meant by the accuracy and reliability of a prostate biopsy and why they are such important concepts to focal therapy and active surveillance are discussed.
Wei
John T
JT
Dow Division of Urologic Health Services Research, Department of Urology, University of Michigan Medical School, Ann Arbor, MI 48109, USA. jtwei@umich.edu
D001706:Biopsy; D006801:Humans; D008297:Male; D011467:Prostate / Q000473:pathology*; D011471:Prostatic Neoplasms / Q000473:pathology*; D015203:Reproducibility of Results
J Urol. 1994 Jun;151(6):1571-4
7514690
J Urol. 2000 Jan;163(1):158-62
10604336
J Urol. 2005 Aug;174(2):505-9
16006881
Clin Cancer Res. 2009 Jul 15;15(14):4706-11
19584163
Urol Oncol. 2008 Sep-Oct;26(5):506-10
18774464
N Engl J Med. 2008 Mar 20;358(12):1250-61
18354103
Prostate. 1999 May 15;39(3):213-8
10334111
Nat Clin Pract Urol. 2009 Jan;6(1):18-30
19132003
J Urol. 2000 Jan;163(1):152-7
10604335
Urology. 2007 Dec;70(6 Suppl):27-35
18194708
Can J Urol. 2005 Jun;12 Suppl 2:21-4
16018828
Int J Clin Oncol. 2006 Apr;11(2):127-32
16622747
J Urol. 2007 Dec;178(6):2260-7
17936815
J Urol. 1998 Feb;159(2):471-5; discussion 475-6
9649265
Eur Urol. 2005 Dec;48(6):911-5
16140457
BJU Int. 2008 Aug 5;102(5):546-50
18694408
Urology. 2003 May;61(5):977-81
12736019
Curr Urol Rep. 2008 Mar;9(2):113-21
18419995
J Urol. 1989 Jul;142(1):71-4; discussion 74-5
2659827
JAMA. 2009 Sep 16;302(11):1202-9
19755699
J Urol. 2001 Nov;166(5):1679-83
11586201
Clin Radiol. 2006 Feb;61(2):142-53
16439219
Urology. 2007 Oct;70(4):691-5
17991539
Cancer. 2008 Oct 1;113(7):1559-65
18726951
Nat Rev Clin Oncol. 2009 Apr;6(4):197-206
19333226
J Natl Cancer Inst. 2006 Aug 16;98(16):1134-41
16912266
J Urol. 2008 Nov;180(5):1993-2004
18817934
BJU Int. 2008 Apr;101(7):837-40
18070187
J Urol. 2002 Jun;167(6):2435-9
11992052