Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas

Background: The Gleason histological score is an independent prognostic factor in prostate cancer that helps in therapeutic decisions. Aim: To analyze the concordance between the Gleason score of needle prostatic biopsy and the score from the study of the surgical piece obtained during radical prost...

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Autores principales:	Arellano H,Leonardo, Castillo C,Octavio, Metrebián B,Esteban
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Biopsy, needle Prostatectomy Prostatic neoplasms Urogenital surgical procedures
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000800009
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spelling	oai:scielo:S0034-988720040008000092014-08-14Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicasArellano H,LeonardoCastillo C,OctavioMetrebián B,Esteban Biopsy, needle Prostatectomy Prostatic neoplasms Urogenital surgical procedures Background: The Gleason histological score is an independent prognostic factor in prostate cancer that helps in therapeutic decisions. Aim: To analyze the concordance between the Gleason score of needle prostatic biopsy and the score from the study of the surgical piece obtained during radical prostatectomy. Material and methods: Retrospective analysis of 212 cases of prostate cancer, diagnosed between February 1993 and March 2003. All had the Gleason histological scores from needle prostatic biopsies and in the surgical piece obtained during radical prostatectomy. All pathological studies were done by the same observer. Results: There was an exact concordance of Gleason scores between needle biopsy and the surgical piece in 49% of cases and a concordance of ± 1 unit in 89%. The concordance improved in the second half of the study period. No cases with a Gleason score of less than 5 were detected since 1999 in the surgical piece. Conclusions: The concordance of Gleason score of needle prostatic biopsies and surgical pieces is good. This concordance increases with the experience of the pathologist (Rev Méd Chile 2004; 132: 971-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.8 20042004-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000800009es10.4067/S0034-98872004000800009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Biopsy, needle Prostatectomy Prostatic neoplasms Urogenital surgical procedures
spellingShingle	Biopsy, needle Prostatectomy Prostatic neoplasms Urogenital surgical procedures Arellano H,Leonardo Castillo C,Octavio Metrebián B,Esteban Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas
description	Background: The Gleason histological score is an independent prognostic factor in prostate cancer that helps in therapeutic decisions. Aim: To analyze the concordance between the Gleason score of needle prostatic biopsy and the score from the study of the surgical piece obtained during radical prostatectomy. Material and methods: Retrospective analysis of 212 cases of prostate cancer, diagnosed between February 1993 and March 2003. All had the Gleason histological scores from needle prostatic biopsies and in the surgical piece obtained during radical prostatectomy. All pathological studies were done by the same observer. Results: There was an exact concordance of Gleason scores between needle biopsy and the surgical piece in 49% of cases and a concordance of ± 1 unit in 89%. The concordance improved in the second half of the study period. No cases with a Gleason score of less than 5 were detected since 1999 in the surgical piece. Conclusions: The concordance of Gleason score of needle prostatic biopsies and surgical pieces is good. This concordance increases with the experience of the pathologist (Rev Méd Chile 2004; 132: 971-8)
author	Arellano H,Leonardo Castillo C,Octavio Metrebián B,Esteban
author_facet	Arellano H,Leonardo Castillo C,Octavio Metrebián B,Esteban
author_sort	Arellano H,Leonardo
title	Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas
title_short	Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas
title_full	Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas
title_fullStr	Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas
title_full_unstemmed	Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas
title_sort	concordancia diagnóstica del puntaje de gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000800009
work_keys_str_mv	AT arellanohleonardo concordanciadiagnosticadelpuntajedegleasonenbiopsiaporpuncionyprostatectomiaradicalysusconsecuenciasclinicas AT castillococtavio concordanciadiagnosticadelpuntajedegleasonenbiopsiaporpuncionyprostatectomiaradicalysusconsecuenciasclinicas AT metrebianbesteban concordanciadiagnosticadelpuntajedegleasonenbiopsiaporpuncionyprostatectomiaradicalysusconsecuenciasclinicas
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Concordancia diagnóstica del puntaje de Gleason en biopsia por punción y prostatectomía radical y sus consecuencias clínicas

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