Transectal sonography for serial evaluationof prostatic malignancy Journal Article


Authors: Dershaw, D. D.; Scher, H. I.; Smart, T.
Article Title: Transectal sonography for serial evaluationof prostatic malignancy
Abstract: Serial changes in the prostatic bed as identified by transrectal sonography in 31 patientswith prostatic carcinoma were correlated with systemic change in disease. Seventy-three sonograms were performed, allowing interval change to be evaluated in 42 instances. Sonography demonstrating regression correlated with clinical response in 89 percent (8/9) of studies and with disease progression in 91 percent(10/11). Stable disease was correctly evaluated by sonography in only 56 percent (10/18) of studies. Six of those 8 incorrectly identified as stable were in men with prostatic irradiation prior to inclusion in this study. If they are excluded,stability was accurately gauged in 83 percent (10/12). Stability of the prostate on serial sonography may not accurately reflect clinical status in men with prior prostatic irradiation. In 1 patient abscess was superimposed on and could not be differentiated from tumor. Nodules of increased, decreased, and mixed echogenicity showed the same response to treatment as the total prostate volume. © 1990 Cahners Publishing Company, A division of Reed Publishing USA.
Keywords: major clinical study; cancer growth; methodology; prospective studies; diagnosis, differential; ultrasound; time factors; prostatic neoplasms; echography; predictive value of tests; ultrasonography; prostate carcinoma; rectum; prostatitis; abscess; human; male; priority journal; article; support, non-u.s. gov't
Journal Title: Urology
Volume: 36
Issue: 2
ISSN: 0090-4295
Publisher: Elsevier Science, Inc.  
Date Published: 1990-08-01
Start Page: 172
End Page: 176
Language: English
DOI: 10.1016/0090-4295(90)80221-8
PUBMED: 2201117
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 27 January 2020 -- Source: Scopus
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  1. D David Dershaw
    223 Dershaw
  2. Howard Scher
    1130 Scher