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• W2123444118 abstract "No AccessJournal of UrologyAdult Urology1 Jun 2014Value of Transition Zone Biopsy in Active Surveillance of Prostate Cancer Chung-Chieh Wang, H. Ballentine Carter, and Jonathan I. Epstein Chung-Chieh WangChung-Chieh Wang Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland More articles by this author , H. Ballentine CarterH. Ballentine Carter Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, Maryland More articles by this author , and Jonathan I. EpsteinJonathan I. Epstein Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, Maryland Department of Oncology, The Johns Hopkins Medical Institutions, Baltimore, Maryland More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.11.058AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: For patients on active surveillance there are limited data on transition zone sampling upon followup biopsy. We verified the value of transition zone biopsy in the active surveillance setting. Materials and Methods: Our study included 1,059 sets of prostate biopsies from a total of 534 patients on active surveillance at the Johns Hopkins Hospital. Each set comprised at least 14 cores with 2 or more from the transition zone. Of these men 53 underwent radical prostatectomy. Results: Patients with tumors in the peripheral zone as well as the transition zone had a higher maximum Gleason score and an increased maximum percent of cancer per core than men with tumor in the peripheral or transition zone only. In 12 of the 534 patients (2.2%) the tumor on active surveillance biopsy was limited to transition zone core(s). Of the 534 patients 11 (2.1%) had tumor with a high Gleason score (greater than 6) or extensive involvement (greater than 50%) of any core exclusively on transition zone biopsy. However, in 10 of 15 radical prostatectomy cases (66.7%) with prior positive transition zone biopsies the tumors had little or no transition zone component. In addition, transition zone status on biopsy had no significant relationship with Gleason score, extraprostatic extension or seminal vesicle involvement at radical prostatectomy. Conclusions: Our data suggest that the additional yield is sufficiently low to argue against routine transition zone sampling in men undergoing followup biopsy on active surveillance. However, further study is needed to make definitive recommendations. References 1 : Characteristics of insignificant clinical T1c prostate tumors. A contemporary analysis. Cancer2004; 101: 2001. Google Scholar 2 : Radical prostatectomy findings in patients in whom active surveillance of prostate cancer fails. J Urol2009; 182: 2274. Link, Google Scholar 3 : Expectant management of prostate cancer with curative intent: an update of the Johns Hopkins experience. J Urol2007; 178: 2359. Link, Google Scholar 4 : Regional morphology and pathology of the prostate. Am J Clin Pathol1968; 49: 347. Google Scholar 5 : Prostate cancers in the transition zone: part 1; pathological aspects. BJU Int2004; 94: 1221. Google Scholar 6 : The McNeal prostate: a review. Urology2011; 78: 1224. 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Google Scholar © 2014 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byKachanov M, Leyh-Bannurah S, Roberts M, Sauer M, Beyersdorff D, Boiko S, Maurer T, Steuber T, Graefen M and Budäus L (2021) Optimizing Combined Magnetic Resonance Imaging (MRI)-Targeted and Systematic Biopsy Strategies: Sparing the Multiparametric MRI-Negative Transitional Zone in Presence of Exclusively Peripheral Multiparametric MRI-Suspect LesionsJournal of Urology, VOL. 207, NO. 2, (333-340), Online publication date: 1-Feb-2022.Jeong I, Yoo S, Lee C, Kim M, You D, Song C, Park S, Hong J, Ahn H and Kim C (2017) Obesity as a Risk Factor for Unfavorable Disease in Men with Low Risk Prostate Cancer and its Relationship with Anatomical Location of TumorJournal of Urology, VOL. 198, NO. 1, (71-78), Online publication date: 1-Jul-2017. Volume 191Issue 6June 2014Page: 1755-1759Supplementary Materials Advertisement Copyright & Permissions© 2014 by American Urological Association Education and Research, Inc.Keywordsprostatebiopsyprostatic neoplasmsprostatectomydiagnosisMetricsAuthor Information Chung-Chieh Wang Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland More articles by this author H. Ballentine Carter Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, Maryland More articles by this author Jonathan I. Epstein Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, Maryland Department of Oncology, The Johns Hopkins Medical Institutions, Baltimore, Maryland More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2123444118 title "Value of Transition Zone Biopsy in Active Surveillance of Prostate Cancer" @default.
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