AIUM Practice Guideline for the Performance of an Ultrasound Evaluation of the Prostate (and Surrounding Structures)

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doi:10.7863/ultra.34.8.15.13.0004

Cited by 4 publications

(2 citation statements)

References 19 publications

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Section: Discussionmentioning

confidence: 99%

“…US is widely used in the evaluation of prostate disease because of its convenience and inexpensive features ( 23 ). The transrectal approach to US of the prostate is the method of choice; however, transabdominal approaches are also available when the patient does not meet the conditions for the transrectal approach ( 24 ). The literature indicated that the US of PMP could depict localized hypoechoic areas with indistinct borders and uneven internal echogenicity in the prostate ( 15 , 22 , 25 ).…”

Section: Discussionmentioning

confidence: 99%

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Case report: Prostatic malakoplakia: a rare disease that has a profile mimicking prostate cancer

Ren,

Chen,

Zhang

et al. 2024

Front. Oncol.

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Prostatic malakoplakia (PMP) is a rare inflammatory disease, and misdiagnosis on imaging is a major reason for unnecessary punctures; however, information on imaging is even rarer. Five patients with PMP between May 2022 and February 2023 were enrolled in this study to summarize the imaging manifestations. All patients underwent ultrasound (US)-guided prostate biopsy and were confirmed by pathology, and the presence of prostate cancer was also excluded by pathology. The five patients, with a median age of 71 years (range = 58–74 years), had a median total prostate-specific antigen (T-PSA) of 10.40 ng/mL (range = 1.74–63.42 ng/mL). In two patients, chest computed tomography showed pulmonary infections. All patients underwent magnetic resonance imaging (MRI). Of these patients, four had a Prostate Imaging–Reporting and Data System (PIRADS) score of 5, while one had a score of 4. The lesions were mostly distributed in the peripheral zone of the prostate and appeared as a high signal on T1-weighted imaging (T1WI) and a low signal on T2-weighted imaging (T2WI). In the US examination, four patients had abnormal prostate morphology, with an unsmooth envelope and non-uniform parenchymal echogenicity. Four patients had increased prostate volume. US showed a hypoechoic nodule with non-uniform internal echogenicity, and an abundant internal blood flow signal was detected by color Doppler US. PSA, MRI, and US were not specific for PMP in our study, but we found that a history of co-infection may be helpful in an accurate diagnosis and to avoid unnecessary biopsy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case report: Prostatic malakoplakia: a rare disease that has a profile mimicking prostate cancer

Ren,

Chen,

Zhang

et al. 2024

Front. Oncol.

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Urologic Imaging

Becher

Tong

Taneja

2020

Urologic Principles and Practice

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Standardy badania ultrasonograficznego gruczołu krokowego. Część 1

Tyloch

Wieczorek²

2016

J Ultrason

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The article discusses the principles of the proper performance of the ultrasound examination of the prostate gland. The paper has been divided into two parts: the general one and the detailed one. The first part presents the necessary requirements referring to the ultrasound apparatus for performing transabdominal examinations of the urinary bladder and the prostate gland as well as for transrectal examinations of the prostate gland. The paper also describes the techniques of performing both examinations together with the methods of measuring the capacity of the urinary bladder and the volume of the prostate gland. It also mentions the most frequent indications for performing the examinations as well as diagnostic algorithms applied in case of finding irregularities. The transabdominal ultrasonography is a part of the examination of the abdominal organs and it should be performed in patients complaining of dysuric symptoms. An addition to the examination, especially when the prostate gland is enlarged, should be the measurement of the capacity of the urinary bladder and the assessment of the amount of residual urine after voiding. The indications for the endosonographic examination of the prostate gland are patological changes found in the per rectum examination, elevated concentration of the prostate-specific antigen in the blood serum, cancer and inflammations of the prostate gland if an abscess is suspected, qualification for surgery in the course of benign prostatic hyperplasia and the diagnostics of disorders of ejaculation. A standard procedure performed in case of prostate cancer for the purpose of obtaining specimens for the histopathology examination is biopsy carried out with transrectal ultrasound imaging. The paper presents the indications and techniques of performing prostate biopsy, as well as the types of biopsies together with the necessary preparation and the protection against its side effects for the patient. The paper also lists the necessary elements of the description of the presented procedures. The second part of the paper presents the application of the ultrasound examination in benign prostatic hyperplasia, in cases of inflammation and in prostate cancer.

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AIUM Practice Guideline for the Performance of an Ultrasound Evaluation of the Prostate (and Surrounding Structures)

Cited by 4 publications

References 19 publications

Case report: Prostatic malakoplakia: a rare disease that has a profile mimicking prostate cancer

Case report: Prostatic malakoplakia: a rare disease that has a profile mimicking prostate cancer

Urologic Imaging

Standardy badania ultrasonograficznego gruczołu krokowego. Część 1

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