Diagnostic Value of Transrectal Fine Needle Aspiration Cytology of the Prostate

Han, Mo; Rim, Joung Sik; Choi, Chan

Abstract

Prostatic carcinoma continues to be a major cause of morbidity and mortality in men. Unfortunately, most patients with prostatic carcinoma present to the clinician with established disseminated disease. Earlier detection of prostatic carcinoma is essential of the number of potentially curable patients is to be increased. It is the purpose of this study evaluated a screening program for the early detection of carcinoma of the prostate by transrectal fine needle aspiration cytology. A total of 52 transrectal fine needle aspiration cytology of the prostate compared with histological diagnosis by operation in 41 patients with abnormal prostate by digital rectal examination. Of the 51 prostatic aspirations that could be given a definite cytologic diagnosis, there was histological correlation in 43. The sensitivity was 84.0 percent, specificity 81.5 percent. The false negative rate was 15.4 percent, false positive rate 12.5 percent. There was no apparent complication by transrectal aspiration of the prostate. Our results suggest that transrectal fine needle aspiration of the prostate is an easily performed, diagnostically reliable procedure without complication.