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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Adequacy of Sampling Transurethral Resection of Prostate for Accurately Evaluating Incidentally Detected Prostatic Carcinoma

Asila Puthalan, Parvathy D. Ullas, Elezabeth Manuel, Renu Mariam Thomas, Sheenu Sara Varghese and R. Rashmi
Page: 569-574 | Received 01 Jul 2023, Published online: 16 Jul 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.569.574

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Abstract

Incidental detection of prostate cancer in transurethral resection of prostate (TURP) samples has increased over the past decade. There are no definite guidelines for sampling TURP specimens when incidental carcinoma is detected and practices vary between institutions. The aim of this study was to identify a reasonable sampling approach to accurately evaluate TURP samples with incidentally detected carcinoma without compromising quality of the report. We evaluated thirty nine TURP samples received in our department over a period of 5 years, with clinically presumed benign hyperplasia, in which incidental carcinoma was identified in the initial samples and which were subsequently submitted entirely and examined. Gleason score and tumour volume in the initial and additionally sampled chips were analyzed. The main finding from our study was that after complete sampling, Gleason score and percentage of initially estimated tumour volume remain unchanged. We also found that we face an average loss of Rs. 2592 per case following complete sampling. We conclude that initial random sampling as per established CAP protocol is sufficient to accurately evaluate the Gleason score and tumour stage in the entire resected TURP chips when an incidental prostate cancer is detected and the additional expenses, manpower and delay in turnaround time can be avoided with partial sampling.

How to cite this article:

Asila Puthalan, Parvathy D. Ullas, Elezabeth Manuel, Renu Mariam Thomas, Sheenu Sara Varghese and R. Rashmi. Adequacy of Sampling Transurethral Resection of Prostate for Accurately Evaluating Incidentally Detected Prostatic Carcinoma.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.569.574
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.569.574