Skip to main content

Advertisement

  • Le Laboratoire: Diagnostic, Explorations Fonctionnelles et Traitement du Sperme
  • Open Access
  • Published:

La cyto-aspiration prostatique transrectale

Transrectal fine-needle aspiration of the prostate

Article metrics

  • 147 Accesses

Resume

La cyto-aspiration prostatique transrectale à l’aiguille fine est une méthode simple, dépourvue de complications et reproductible. La sensibilité de la cyto-aspiration dans le diagnostic de carcinome prostatique est de 70 à 95%, et sa spécificité de 65 à 95%, par rapport à la méthode biopsique. La corrélation des grades cytologique et de Gleason est de 75%. Les complications liées à la cytoaspiration transrectale sont très faibles, à condition de prescrire une antibiothérapie prophylactique. Les indications de la cyto-aspiration prostatique sont limitées, le diagnostic formel et le grading étant apportés par l’histopathologie. Les biopsies guidées par échographie sont effectuées dans l’étape diagnostique initiale et de stadification des cancers de la prostate. La cyto-aspiration devrait plutôt être utilisée pour le diagnostic précoce, de façon systématique chez les patients consultant en urologie.

Abstract

The diagnosis of prostate adenocarcinoma by fine-needle aspiration cytology (FNAC) has taken long to accept as a simple, safe and reproducible procedure. The transrectal approach, as described for many years, remains the simplest method. Cytological samples need to be fixed with adequate solutions. Local anesthesia is not useful, and ultrasonographic guidance is not necessary. Reported sensitivity and specificity values of FNAC are 70–95% and 65–95% respectively, when biopsy is taken as the diagnostic reference. The correlation of cytological and Gleason’s grading is about 75%. Complications after transrectal sampling are very low, provided previous antibiotherapy is administrated. The indications for performing FNAC are limited, a histopathological diagnosis being necessary. Ultrasonographicallyguided biopsies should be done in every diagnostic and staging attempt. FNAC should be done more systematically in order to provide early diagnosis in patients presenting with non specific urologic symptoms.

References

  1. 1.

    BALLENTINE CARTER H, RIEHLE RA, KOIZUMI JH, AMBERSON J, DARRACOTT VAUGHAN E.: Fine-needle aspiration of the abnormal prostate: a cytohistological correlation. J. Urol., 1986, 135: 294–298.

  2. 2.

    BENSON MC.: Fine-needle aspiration of the prostate. NCI Monographs, 1988, 7: 19–24.

  3. 3.

    BROMBERG WD, GRAHAM JB.: Prostatic needle aspiration biopsy. Advances in Urology, 1989, 2: 25–40.

  4. 4.

    ESPOSTI PL, FRANZEN S. Transrectal aspiration biopsy of the prostate: a re-evaluation of the method in the diagnosis of prostate carcinoma. Scand. J. Urol. Nephrol. [suppl], 1980, 55: 49–52.

  5. 5.

    FERGUSON RS.: Prostatic neoplasms: their diagnosis by needle puncture and aspiration. Am. J. Surg., 1930, 9: 507–511.

  6. 6.

    HOSTETTER AL, PEDERSEN KV, GUSTAFSSON BL, MANSON JC, BOERYD BRG.: Diagnosis and localization of prostate carcinoma by fine-needle aspiration cytology and correlation with histologic whole-organ sections after radical prostatectomy. Am. J. Clin. Pathol., 1990, 94: 693–697.

  7. 7.

    PIATON E.: La cytologie dans le diagnostic positif et le grading des cancers de la prostate: quelles indications reste-t-il, à l’heure des biopsies automatiques et de l’échographie endorectale? Bull. Cancer, 1992, 79: 67–80.

  8. 8.

    ZATTONI F, PAGANO F, REBUFFI A, COSTANTIN G. Transrectal thin-needle aspiration biopsy of prostate: four years’ experience. Urology, 1988, 22: 69–72.

Download references

Author information

Correspondence to Eric Piaton.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Piaton, E. La cyto-aspiration prostatique transrectale. Androl. 4, 223–227 (1994) doi:10.1007/BF03034289

Download citation

Mots-clés

  • prostate
  • cancer
  • cytologie
  • diagnostic

Key words

  • prostate carcinoma
  • fine-needle aspiration
  • diagnosis