Histologic Findings Associated with False Positive Multiparametric Magnetic Resonance Imaging Performed for Prostate Cancer Detection. (Record no. 3740)

MARC details
000 -LEADER
fixed length control field 03173nam a22003497a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 180928s20182018 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0046-8177
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.humpath.2018.08.021 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0046-8177(18)30337-X [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 30179687
245 ## - TITLE STATEMENT
Title Histologic Findings Associated with False Positive Multiparametric Magnetic Resonance Imaging Performed for Prostate Cancer Detection.
251 ## - Source
Source Human Pathology. 2018 Sep 01
252 ## - Abbreviated Source
Abbreviated source Hum Pathol. 2018 Sep 01
253 ## - Journal Name
Journal name Human pathology
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2018
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2018-09-28
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
520 ## - SUMMARY, ETC.
Abstract Copyright (c) 2018. Published by Elsevier Inc.
520 ## - SUMMARY, ETC.
Abstract Magnetic Resonance Imaging (MRI)/Ultrasound fusion-targeted biopsy (TB) has been shown to more accurately identify higher grade prostate cancers compared to standard-of-care systematic sextant prostate biopsy (SB). However, occasional false positive imaging findings occur. We investigated the histologic findings associated with false positive prostate MRI findings. A retrospective review was performed on our surgical pathology database from 2014-2017 selecting patients with no cancer detected on TB with concurrent SB following at least one prior benign SB session. Histologic features evaluated included percentage of core involvement by chronic inflammation, percentage of core composed of stroma, percentage of glands involved by atrophy, and presence of the following features: acute or granulomatous inflammation, stromal nodular hyperplasia, adenosis, squamous metaplasia, basal cell hyperplasia, presence of skeletal muscle. Histologic findings were compared between TB and concurrent SB. We identified 544 patients who underwent TB. Of these, 41 patients, including 62 targeted lesions, met criteria. Compared to SB tissue, the mean percentage of stroma was increased in TB (P=.02). Basal cell hyperplasia was also found to be more common on TB (P=.02). Both high percentage of stroma (P=.046) and presence of basal cell hyperplasia (P=.038) were independent predictors on multivariate analysis. The combination of high chronic inflammation, high stroma, acute inflammation, and basal cell hyperplasia was associated with TB (P=.001). Atrophic glands and chronic inflammation showed a positive correlation (r=0.67, P=.003), which was especially seen in high prostate imaging reporting and data system lesions. Specific benign histologic entities are associated with false positive findings on prostate MRI.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Neurology
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Medline publication type Journal Article
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Local Authors Ullman, Michael
790 ## - Authors
All authors Bae S, Calderone CE, Del Carmen Rodriguez Pena M, Gordetsky JB, Nix JW, Porter KK, Rais-Bahrami S, Schultz L, Ullman D, Ullman M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.humpath.2018.08.021">https://dx.doi.org/10.1016/j.humpath.2018.08.021</a>
Public note https://dx.doi.org/10.1016/j.humpath.2018.08.021
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 09/28/2018   30179687 30179687 09/28/2018 09/28/2018 Journal Article

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