A single center study:An analysis of the safety and validity of delaying repeated biopsy for patients with atypical small acinar proliferation
JI Wen-tong
LIU De-chuan
CUI Wan-li
HU Yu
WANG Yao
TAN Jiu-feng
Abstract:Objective:To explore the association between atypical small acinar proliferation(ASAP)and subsequent diagnosis of intermediate and high risk prostate cancer(PCa),and analyze whether delaying repeat biopsy timing is safe and effective.Meth-ods:From June 2000 to June 2022,we retrospectively analyzed the clinical data of 276 patients accepting prostatic biopsy and diag-nosed with ASAP in China-Japan Union Hospital of Jilin University.54.7%(151/276)patients had a repeat biopsy.We used statis-tic methods to process the data.Results:25.2%(38/151)patients were diagnosed with PCa on repeat biopsy.Among them,78.9%(30/38)patients had Gleason score(GS)3+3 and 21.1%(8/38)had GS 3+4 disease.There were 4 and 6 patients got RP re-spectively in the two cohorts.Only 5.3%(8/151)of ASAP patients were diagnosed as intermediate risk PCa in repeated biopsy and specially,no high risk PCa was identified in our study.Conclusion:It was safe and valid to delay the repeat biopsy.
Keywords:atypical small acinar proliferationprostate biopsyprostate cancer
Publication Date:2023-05-20
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:6( 414-419 )
National Journal of Andrology

National Journal of Andrology

ISTICCSCD
ISSN:1009-3591
Year, Vol.(Issue):2023,29(5)