Transrectal ultrasound appearance of hematolymphoid malignancies involving the prostate

Martha Kennedy Terris, Fuad S. Freiha

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objectives. Although the clinical presentation and physical examination findings in patients with lymphoma or leukemia involving the prostate have been described previously, the transrectal ultrasound appearance of hematolymphoid malignancies involving the prostate has not been previously described. Methods. Nine patients with prostate cancer diagnosed by transrectal ultrasound-guided prostate biopsies were found to have hematolymphoid malignancies involving the prostate at the time of subsequent radical prostatectomy and pelvic lymph node dissection. The ultrasound images and prostate needle biopsy results are presented. Results. Prospective analysis of transrectal ultrasound images revealed no abnormality other than hypoechogenicity typical of prostate cancer in 7 of the 9 patients (77.8%). In 2 patients, the ultrasound images were free of any abnormalities. In 2 of the 9 patients (22.2%) the prostate needle biopsies demonstrated suspicious lymphocytic infiltrate in addition to prostate cancer. Conclusions. Transrectal ultrasound does not detect hematolymphoid malignancies involving the prostate. Ultrasound-guided biopsies of the prostate have a very low rate of detecting these malignancies.

Original languageEnglish (US)
Pages (from-to)339-341
Number of pages3
JournalUrology
Volume51
Issue number2
DOIs
StatePublished - Feb 1 1998
Externally publishedYes

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Prostate
Neoplasms
Prostatic Neoplasms
Needle Biopsy
Biopsy
Prostatectomy
Lymph Node Excision
Physical Examination
Lymphoma
Leukemia

ASJC Scopus subject areas

  • Urology

Cite this

Transrectal ultrasound appearance of hematolymphoid malignancies involving the prostate. / Terris, Martha Kennedy; Freiha, Fuad S.

In: Urology, Vol. 51, No. 2, 01.02.1998, p. 339-341.

Research output: Contribution to journalArticle

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abstract = "Objectives. Although the clinical presentation and physical examination findings in patients with lymphoma or leukemia involving the prostate have been described previously, the transrectal ultrasound appearance of hematolymphoid malignancies involving the prostate has not been previously described. Methods. Nine patients with prostate cancer diagnosed by transrectal ultrasound-guided prostate biopsies were found to have hematolymphoid malignancies involving the prostate at the time of subsequent radical prostatectomy and pelvic lymph node dissection. The ultrasound images and prostate needle biopsy results are presented. Results. Prospective analysis of transrectal ultrasound images revealed no abnormality other than hypoechogenicity typical of prostate cancer in 7 of the 9 patients (77.8{\%}). In 2 patients, the ultrasound images were free of any abnormalities. In 2 of the 9 patients (22.2{\%}) the prostate needle biopsies demonstrated suspicious lymphocytic infiltrate in addition to prostate cancer. Conclusions. Transrectal ultrasound does not detect hematolymphoid malignancies involving the prostate. Ultrasound-guided biopsies of the prostate have a very low rate of detecting these malignancies.",
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