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Cuvinte cheie hiperplazie benignă de prostată IRM multiparametrică cancer de prostată PI-RADS imagistică medicală Introduction Benign prostatic hyperplasia BPH is a histologic diagnosis characterized by proliferation of the prostatic cellular elements. Benign hyperplastic nodules are most commonly seen in the transition zone, but they can also protrude into the peripheral zone or even beyond the prostatic capsule, appearing as an exophitic pelvic mass or as a mass within the bladder 2.

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Comentarii Although prostate cancer is the second leading cause of cancer death in men in the USA, it can be treated successfully if detected early. Disease management has gradually changed to a paradigm that relies on close monitoring through active surveillance in select patients, as well as ongoing refinements in treatment interventions, including minimally invasive procedures. This has resulted in a critical need for a more exacting methodology for performing targeted biopsies, assessing risk levels, and devising treatment strategies.

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Support for both transrectal and transperineal biopsy Support for both transrectal and transperineal biopsy UroNav supports both transrectal and transperineal stepper or freehand biopsy approaches, providing users the flexibility necessary to incorporate fusion-guided biopsy into their preferred biopsy method. Comprehensive, 3D review of the biopsy following the procedure Comprehensive, 3D review of the biopsy following the procedure The clinical team can review biopsy targets and core samples taken during the procedure in 3D, which assists users in easily identifying biopsy sample locations.

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Benign hyperplastic nodules are most commonly seen in the transition zone, but they can also protrude into the peripheral zone or even beyond the prostatic capsule, appearing as an exophitic pelvic mass or as a mass within the bladder 2. Usually, there is a direct relationship between prostate enlargement and symptoms severity, although many patients with small prostates also present urinary obstruction, because of the strategically position of the adenoma, sitting right on the bladder outlet 2. The initial evaluation should asses the frequency and severity of symptoms by using the International Prostate Symptom Score IPSS 4 and it should also include a digital rectal examination and urinalysis. Enlargement of the prostate associated with a palpable nodule and elevated PSA prostate specific cancer with benign prostatic hyperplasia level requires imaging methods of diagnosis, such as transrectal ultrasonography which provides a more accurate assessment of prostate volume than digital rectal examination does 5 and MRI cancer with benign prostatic hyperplasia the characterization of the prostatic tissue, due to its excellent contrast resolution.

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In each group of lesions with cribriform architecture benign, premalignant and malignant intraductal or infiltratingthere are situations in which histological classification of the lesion is difficult or impossible on routine stains. A more wide-scale application of the immunohistochemical investigation for clearing up the problematic prostate lesions led to the definition and reclassification of cribriform lesions in distinct categories and sometimes very different in terms of progression, prognosis and treatment.

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Endorectal coils ERC are useful, but now rectal cancer on mri can get a prostate MRI without any discomfort, and the quality and accuracy is on par with the standard, invasive diagnostic methods. Endorectal coils — a thing of the past? Most facilities use an ERCwhich is a special coil that is inserted into the rectum through the anus, and is usually covered by a lubricated balloon or condom.

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