Anatomy of the prostate revisited: Implications for prostate biopsy and zonal origins of prostate cancer Journal Article


Authors: Fine, S. W.; Reuter, V. E.
Article Title: Anatomy of the prostate revisited: Implications for prostate biopsy and zonal origins of prostate cancer
Abstract: Over the past 25years, our understanding of prostatic disease has evolved secondary to the increased detection, treatment and study of both benign and neoplastic prostatic lesions. The advent of aggressive prostate-specific antigen screening and standardization of extended transrectal needle biopsy protocols has resulted in significant stage migration and earlier detection of prostate cancers, a growing proportion of which are lower-volume posterior peripheral zone tumours. Consequently, an increased incidence of anterior-predominant prostate cancers has been observed. Given the histomorphological complexity of the prostate, these developments have necessitated a reconsideration of prostatic anatomy, biopsy strategies in the detection of anterior tumours and the determination and relevance of zonal origin in prostate cancer. This review will provide a contemporary update of these topics, while highlighting specific areas in which a keen understanding of prostatic histoanatomy may influence biopsy interpretation. © 2011 Blackwell Publishing Limited.
Keywords: histopathology; review; biopsy; prostate cancer; prostate-specific antigen; prostatic neoplasms; prostate; biopsy, needle; prostate tumor; needle biopsy; prostate biopsy; medical literature; anatomy; seminal vesicle; skeletal muscle; transition zone; topography; central zone; transperineal; ejaculatory duct
Journal Title: Histopathology
Volume: 60
Issue: 1
ISSN: 0309-0167
Publisher: Wiley Blackwell  
Date Published: 2012-01-01
Start Page: 142
End Page: 152
Language: English
DOI: 10.1111/j.1365-2559.2011.04004.x
PROVIDER: scopus
PUBMED: 22212083
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 1 February 2012" - "CODEN: HISTD" - "Source: Scopus"
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  1. Samson W Fine
    462 Fine
  2. Victor Reuter
    1228 Reuter