MRI-guided pelvic lymph node biopsy via transrectal approach in prostate cancer

Document Type

Journal Article

Publication Date

5-1-2020

Journal

Urology Case Reports

Volume

30

DOI

10.1016/j.eucr.2020.101129

Keywords

Lymph node biopsy; MRI/TRUS fusion-guided biopsy; Pre-operative staging; Prostate cancer

Abstract

© 2020 Lymph node assessment in prostate cancer is most commonly performed at the time of radical prostatectomy. We present the case of pre-operative pelvic lymph node sampling with the use of MRI/TRUS fusion-guided biopsy at the time of prostate biopsy. Lymph node pathology revealed metastatic, poorly differentiated prostate cancer, concurrent with Gleason 4 + 5 disease showing perineural invasion. The use of MRI fusion guided biopsy for nodal sampling may be an effective method pre-operative staging and treatment planning for prostate adenocarcinoma.

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