Transrectal polyfocal biopsy under multiparametric ultrasound navigation and echocontrast in the diagnosis of prostate cancer

The main protocol for the diagnosis of prostate cancer (PC) is determination level serum prostate-specific antigen (PSA), a digital rectal examination followed by 12-point biopsy PC under guidance transrectal ultrasonography. An isolated increase in PSA may be only reason performance. However, this led to overdiagnosis and overtreatment clinically insignificant disease (40-65% performed biopsies were excessive). Clinical observation. Patient, 74 years old. – 10 ng/ml (physiological procedural factors affecting absent). A high gives suspect presence pancreatic cancer. Let's note age values upper total blood serum: 50-59 - 3.5 ng/ml; 60-69 old 4.5 over 70 6.5 ng/ml. value above basis performing PZ. patient underwent polyfocal gland multiparametric ultrasound Sonoview echocontrast. Pathohistological conclusion: acinar adenocarcinoma (Gleason Score 3 + 4 = 7) left lobe without lymphovascular perineural invasion.