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頁籤選單縮合
題 名 | Correlation between the Gleason Scores of Needle Biopsies and Radical Prostatectomy Specimens=經直腸攝護腺切片葛里森分數與根除性攝護腺切除手術術後檢體之葛里森分數之差異 |
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作 者 | 沈秉頤; 崔克宏; 張慧朗; 莊正鏗; 謝明里; 黃世聰; 王大民; 李勝惠; 黃信介; 黃世傑; | 書刊名 | 長庚醫學 |
卷 期 | 26:12 2003.12[民92.12] |
頁 次 | 頁919-924 |
分類號 | 416.275 |
關鍵詞 | 攝護腺腫瘤; 粗針切片; 根除性攝護腺切除; 切片之葛里森分數; Prostatic neoplasms; Needle biopsy; Radical prostatectomy; Gleason score; |
語 文 | 英文(English) |
中文摘要 | 背景:病理學上,葛里林分數對於前列腺腺癌的治療和癒後提供很重要的資訊。在此項研究,我們比較18G粗針經直腸攝護腺切片所得之葛里森分數與根除或前例腺刀除手術最終之病理切片之葛里森分數做一分析比對。 方法:自1998年至2002年,總計78名病患,托受根除或抏護腺切除手術。我們比較術前之切片與術後病理檢體之葛里森分數之差異。 結果:經直腸病理切片顯示分化良好,葛里森分數在2至4分者,術前初片與術後病理切片之差異或高,準確率只有23%。葛里森分數介於5至7的病理切片,準確率有78%,葛里森分數介於8至10者,術後病理切片準確率占百分之百。另外,葛里森分數小於7者,將近有33%,術後病理葛里森分數升高為7以上。術前切片葛里森分數小於7者,與術後病理葛里森分數升高為7分者,有60%腫瘤侷限於攝護腺內。 結論:分析結果顯示,術前經直腸切片葛里森分數小於7分者,術後葛里森分數病理差異極大。這結果充分告知,術前使狦經直腸攝護腺切片者對於分化良好之檢體,整個治療方針需保持警覺心。 |
英文摘要 | Background: The Gleason score has been shown to offer important information with regard to prognosis and therapy for patients with adenocarcinoma of the prostate gland. In this study, Gleason scores, as determined by 18-gauge core needle biopsies, were compared with both Gleason scores and the pathological staging of corresponding radical prostantectomy specimens. Methods: Records of 78 consecutie patients undergoing a rdical retropublic prostatectomy between 1998 and 2002 were reviewed. In total, 78 patients were enrolled, all of whom had been diagnosed with adenocarcinoma by transrectal needle biopsies using an 18-gauge automated spring-loaded biopsy gun. Results: Grading errors were greatest with well-differtiated tumors. The accuracy was 6 (23%) for Gleason scores of 2-4 on needle biopsy. Of the 36 evaluable patients with Gleason scores of 5-7 on needle biopsy, 28 (78%) were graded correctly. All of the Gleason scores of 8-10 on needle biopsy were graded correctly. Eighteen (33%) of 54 patients with a biopsy Gleason score of <7 had their cancer upgrade to above 7. Tumors in 6 patients (60%) with both a Gleason score < 7 on the needle biopsy and a Gleason score of 7 for the prostatectomy specimen were confined to the prostate. Conclusions: The potential for grading errors is greatest with well-differentiated tumors and in patients with a Gleason score of <7 on the needle biopsy. Predictions using Gleason scores are sufficiently accurate to warrant its use with all needle biopsies, recognizing that the potential for grading errors is greatest with well-differentiated tumors. |
本系統中英文摘要資訊取自各篇刊載內容。