array:23 [ "pii" => "S0210480604731058" "issn" => "02104806" "doi" => "10.1016/S0210-4806(04)73105-8" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "73105" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2004" "documento" => "article" "crossmark" => 0 "subdocumento" => "rev" "cita" => "Actas Urol Esp. 2004;28:432-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3778 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 3141 "PDF" => 629 ] ] "itemSiguiente" => array:18 [ "pii" => "S021048060473106X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(04)73106-X" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "73106" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2004;28:437-42" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1244 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 851 "PDF" => 387 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Análisis de las complicaciones médicoquirúrgicas en las ileostomías cutáneas" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "437" "paginaFinal" => "442" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Analysis about quality of life variables in stoma patients medical-surgical complications" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "N. Alonso gracia, J.A. Lorente garín, E. De león morales, D. Cañís sánchez, R. Cortadellas ángel, A. Gelabert-más" "autores" => array:6 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Alonso gracia" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Lorente garín" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "De león morales" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Cañís sánchez" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Cortadellas ángel" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Gelabert-más" ] ] ] 1 => array:2 [ "autoresLista" => "M.I. Sánchez de la blanca" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M.I." "apellidos" => "Sánchez de la blanca" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021048060473106X?idApp=UINPBA00004N" "url" => "/02104806/0000002800000006/v1_201304251733/S021048060473106X/v1_201304251733/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480604731046" "issn" => "02104806" "doi" => "10.1016/S0210-4806(04)73104-6" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "73104" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "rev" "cita" => "Actas Urol Esp. 2004;28:418-31" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1314 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 1002 "PDF" => 307 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Alternativas terapéuticas en el cáncer de próstata localizado. Experiencia sobre 454 pacientes" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "418" "paginaFinal" => "431" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Therapeutic options for patients uit localized prostatic carcinoma: our experience with 454 patients" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Arrizabalaga moreno, J.I. García gonzález, M.J. Pérez garnelo, P. Paniagua andrés" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Arrizabalaga moreno" ] 1 => array:2 [ "nombre" => "J.I." "apellidos" => "García gonzález" ] 2 => array:2 [ "nombre" => "M.J." "apellidos" => "Pérez garnelo" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Paniagua andrés" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480604731046?idApp=UINPBA00004N" "url" => "/02104806/0000002800000006/v1_201304251733/S0210480604731046/v1_201304251733/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Incidencia y significación de la “proliferación acinar atípica” en las biopsias transrectales de próstata" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "432" "paginaFinal" => "436" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "F. Herranz Amo, F. Verdú Tartajo, J.M. Díez Cordero, D. Subirá Ríos, I. Castaño González, M. Moralejo Gárate, J.I. Martínez Salamanca, R. Cabello Benavente" "autores" => array:8 [ 0 => array:3 [ "nombre" => "F." "apellidos" => "Herranz Amo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Verdú Tartajo" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Díez Cordero" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Subirá Ríos" ] 4 => array:2 [ "nombre" => "I." "apellidos" => "Castaño González" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Moralejo Gárate" ] 6 => array:2 [ "nombre" => "J.I." "apellidos" => "Martínez Salamanca" ] 7 => array:2 [ "nombre" => "R." "apellidos" => "Cabello Benavente" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Urología. Hospital General Universitario Gregorio Marañón. Madrid" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dr. F. Herranz Amo C/ Doctor Esquerdo, 155ª - 7º 3 28007 Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Incidence and significance of “atypical acinar proliferation” in transrectal prostatic biopsies" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-06-23" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec87211" "palabras" => array:4 [ 0 => "Atipia acinar" 1 => "ASAP" 2 => "Cáncer de próstata" 3 => "Neoplasia prostática intraepitelial" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec87212" "palabras" => array:4 [ 0 => "Atypical acini" 1 => "ASAP" 2 => "Prostate cancer" 3 => "Intra-epithelial bladder neoplasm" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Incidencia y significación de la “proliferación acinar atípica” en las biopsias transrectales de próstata</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Evaluar la incidencia de atipia acinar en nuestra serie, el porcentaje de cáncer de próstata y otras lesiones sospechosas o preneoplásicas en las biopsias sucesivas y establecer una estrategia de seguimiento en estos pacientes.</p> <span class="elsevierStyleSectionTitle">Material y Método</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se han extraído de nuestra base de datos 117 pacientes con el diagnóstico de atipia acinar aislada o asociada a PIN de alto grado, 75 (64%) fueron sometidos al menos a una segunda biopsia de la glándula. La edad, PSA, tacto rectal, volumen prostático, nódulo ecográfico y diagnóstico patológico previo se compararon con el resultado patológico de las sucesivas biopsias de la glándula.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La incidencia de atipia acinar fue del 4%. El 46,7% de los pacientes sometidos a rebiopsia presentaron cáncer de próstata. No encontramos diferencias significativas en las variables clínicas analizadas entre los pacientes con diagnóstico final de cáncer o no. Los pacientes con diagnóstico inicial de atipia acinar con PIN de alto grado asociado presentaron una mayor incidencia de cáncer en la rebiopsia que los pacientes con atipia acinar aislada (p=0,007). El 94,3% de las neoplasias diagnosticadas se detectaron en la 2ª y 3ª biopsia.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los pacientes con atipia acinar tienen un riesgo elevado de tener un cáncer de próstata no detectado en la 1ª biopsia, por lo tanto deben de ser sometidos a rebiopsia en el menor plazo posible. La probabilidad de diagnosticar un cáncer después de una 3ª biopsia es muy pequeña.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Incidence and significance of “atypical acinar proliferation” in transrectal prostatic biopsies</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To determine the incidence of atypical acini in our series, the percentage of prostate cancer and other suspicious or preneoplastic lesions in the successive biopsies and to establish a follow up strategy in these patients.</p> <span class="elsevierStyleSectionTitle">Material And Method</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A total of 117 patients diagnosed with isolated atypical acini or associated with high grade PIN were obtained from our database, 75 (64%) of these were submitted to at least a second biopsy of the gland. The age, PSA, digital rectal examination (DRE), prostate volume, ultrasound nodule and previous pathological diagnosis were compared with the pathology results of the successive biopsies of the gland.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Incidence of atypical acini was 4%. A total of 46.7% of patients undergoing a repeat biopsy presented prostate cancer. We did not find significant differences in the clinical variables studied between patients with or without a definite cancer diagnosis. Patients initially diagnosed with acinar atypia with associated high grade PIN presented a higher incidence of cancer in the repeat biopsy than patients with isolated acinar atypia (p=0.007). A total of 94.3% of all neoplasms diagnosed were detected in the 2nd and 3rd biopsy.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Patients with atypical acini are at high risk of having prostate cancer not detected in the first biopsy. They should, therefore, undergo a second biopsy as soon as possible. There is only a very small probability of detecting cancer after the 3rd biopsy.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic criteria of limited adenocarcinoma of the prostate on needle biopsy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.I. Epstein" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Human Pathol" "fecha" => "1995" "volumen" => "26" "paginaInicial" => "223" "paginaFinal" => "229" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prostatic carcinoma: problems in the interpretation of prostatic biopsies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F.K. Mostofi" 1 => "I.A. Sesterhenn" 2 => "C.J. Davis Jr" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Hum Pathol" "fecha" => "1992" "volumen" => "23" "paginaInicial" => "223" "paginaFinal" => "241" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1555834" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Repeat biopsy strategy in patients with atypical small acinar proliferation or high grade prostatic intraepithelial neoplasia on initial prostate needle biopsy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P.G. Borboroglu" 1 => "R.L. Sur" 2 => "J.L. Roberts" 3 => "C.L. Amling" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Urol" "fecha" => "2001" "volumen" => "166" "paginaInicial" => "866" "paginaFinal" => "870" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11490235" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinicopathological characteristics of prostatic adenocarcinoma in men with atypical prostate needle biopsies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.A. Renshaw" 1 => "W.F. Santis" 2 => "J.P. Richie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Urol" "fecha" => "1998" "volumen" => "159" "paginaInicial" => "2018" "paginaFinal" => "2021" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9598510" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis of “supicious for malignancy” in prostate biopsies: predictive value for cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "K.A. Iczkowski" 1 => "T.J. Bassler" 2 => "V.S. Schwob" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "1998" "volumen" => "51" "paginaInicial" => "749" "paginaFinal" => "758" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9610588" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The focus of “atypical glands, suspicious for malignancy” in prostatic needle biopsy specimens: incidence, histologic features, and clinical follow-up of cases diagnosed in a community practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.C. Cheville" 1 => "M.J. Reznicek" 2 => "D.G. Bostwick" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Clin Pathol" "fecha" => "1997" "volumen" => "108" "paginaInicial" => "633" "paginaFinal" => "640" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9384444" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The presence of atypical small acinar proliferation in prostate needle biopsy is predictive of carcinoma on subsequent biopsy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.C. Ouyang" 1 => "D.N. Kenwright" 2 => "J.N. Nacey" 3 => "B. Delahunt" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "BJU International" "fecha" => "2001" "volumen" => "87" "paginaInicial" => "70" "paginaFinal" => "74" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11201402" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Iczkowski K.A., Chen H.M., Yang X.J., Beach R.: Prostate cancer diagnosed after initial biopsy with atypical small acinar proliferation suspicious for malignancy is similar to cancer found on initial biopsy. Urology; 60: 851-854" ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atypical adenomatous hyperplasia of the prostate: morphologic criteria for its distinction from well-differentiated carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "D.G. Bostwick" 1 => "J. Srigley" 2 => "D. Grignon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Hum Pathol" "fecha" => "1993" "volumen" => "24" "paginaInicial" => "819" "paginaFinal" => "832" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8375853" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000002800000006/v1_201304251733/S0210480604731058/v1_201304251733/es/main.assets" "Apartado" => array:4 [ "identificador" => "6432" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Revisión de conjunto" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000002800000006/v1_201304251733/S0210480604731058/v1_201304251733/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480604731058?idApp=UINPBA00004N" ]
Journal Information
Incidencia y significación de la “proliferación acinar atípica” en las biopsias transrectales de próstata
Incidence and significance of “atypical acinar proliferation” in transrectal prostatic biopsies
F. Herranz Amo1, F. Verdú Tartajo, J.M. Díez Cordero, D. Subirá Ríos, I. Castaño González, M. Moralejo Gárate, J.I. Martínez Salamanca, R. Cabello Benavente
Servicio de Urología. Hospital General Universitario Gregorio Marañón. Madrid