Atypical Small Acinar Proliferation and High-grade Prostatic Intraepithelial Neoplasia in the Era of Multiparametric Magnetic Resonance Imaging: A Contemporary Review

被引:5
作者
Manning, Todd G.
Cheung, Ernest
Perera, Marlon
Christidis, Daniel
O'Brien, Jonathan S.
Mitchell, Catherine
Bolton, Damien M.
Lawrentschuk, Nathan
机构
[1] Univ Melbourne, Dept Surg, Austin Hlth, Melbourne, Vic, Australia
[2] YURO, Melbourne, Vic, Australia
[3] Peter MacCallum Canc Ctr, Dept Pathol, Melbourne, Vic, Australia
[4] Peter MacCallum Canc Ctr, Dept Surg Oncol, Melbourne, Vic, Australia
[5] Olivia Newton John Canc Res Inst, Melbourne, Vic, Australia
关键词
CANCER EARLY-DETECTION; REPEAT BIOPSY; PREDICTIVE-VALUE; INITIAL DIAGNOSIS; MANAGEMENT; DISEASE; LESIONS; MRI; MEN;
D O I
10.1016/j.urology.2017.04.021
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Multiparametric magnetic resonance imaging (mpMRI) has added to the armamentarium for the diagnosis and surveillance for organ-confined prostate cancer. Atypical small acinar proliferation and high-grade prostatic intraepithelial neoplasia (HGPIN) are premalignant prostatic lesions. The management of such lesions remains contentious, and the addition of mpMRI introduces further uncertainty, given its ability to pick up indolent lesions and its use in targeted biopsy. We aimed to perform a comprehensive review of current evidence regarding atypical small acinar proliferation, high-grade prostatic intraepithelial neoplasia, and mpMRI to ascertain a consensus for a current management algorithm. (C) 2017 Published by Elsevier Inc.
引用
收藏
页码:5 / 10
页数:6
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