Are Histological Findings of Thulium Laser Vapo-Enucleation Versus Transurethral Resection of the Prostate Comparable?
Identifieur interne : 000091 ( PubMed/Corpus ); précédent : 000090; suivant : 000092Are Histological Findings of Thulium Laser Vapo-Enucleation Versus Transurethral Resection of the Prostate Comparable?
Auteurs : Luca Carmignani ; Alberto Macchi ; Dario Ratti ; Elisabetta Finkelberg ; Stefano Casellato ; Giorgio Bozzini ; Serena Maruccia ; Carlo Marenghi ; Stefano PicozziSource :
- Pathology oncology research : POR [ 1532-2807 ] ; 2015.
Abstract
We investigated if an adequate histological diagnosis can be made from tissue after Thulium laser vapo-enucleation of the prostate (ThuVEP) and whether it is comparable to transurethral prostate resection (TURP) tissue findings in patients with symptomatic benign prostatic hyperplasia. We analyzed 350 ThuLEP and 100 matched TURP tissue specimens from patients who underwent one of the two procedures between January 2009 and June 2014. Thulium Laser Enucleation of Prostate (ThuVEP) was combined with mechanical morcellation of the resected lobe. Each histological specimen was reviewed by two pathologists. Preoperative prostate ultrasound volume, total serum prostatic specific antigen and postoperative tissue weight were evaluated. Microscopic histological diagnosis was assessed by standard histological techniques and immunohistochemical evaluation. Patients were comparable in terms of age and preoperative total serum prostate specific antigen. Incidental adenocarcinoma and high grade PIN of the prostate were diagnosed in a comparable percent of specimens in the 2 groups (2.5 % in the ThuVEP group versus 3 % in the TURP group). Tissue thermal artifacts induced by the Thulium laser are mostly due to coagulation as that of the conventional monopolar diathermy in TURP. Tissue quality was maintained in the ThuVEP histological specimens. Tissue maintain histological characteristics and proprieties without modification for successive immunoistochemical analysis. The pathologist ability to detect incidental prostate cancer and PIN was maintained even if there is a quoted of vaporized tissue.
DOI: 10.1007/s12253-015-9931-x
PubMed: 25862670
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Are Histological Findings of Thulium Laser Vapo-Enucleation Versus Transurethral Resection of the Prostate Comparable?</title><author><name sortKey="Carmignani, Luca" sort="Carmignani, Luca" uniqKey="Carmignani L" first="Luca" last="Carmignani">Luca Carmignani</name><affiliation><nlm:affiliation>Academic Urology Department, IRCCS Policlinico San Donato, University of Milan, Via Morandi 30, 20097, San Donato Milanese, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Macchi, Alberto" sort="Macchi, Alberto" uniqKey="Macchi A" first="Alberto" last="Macchi">Alberto Macchi</name></author><author><name sortKey="Ratti, Dario" sort="Ratti, Dario" uniqKey="Ratti D" first="Dario" last="Ratti">Dario Ratti</name></author><author><name sortKey="Finkelberg, Elisabetta" sort="Finkelberg, Elisabetta" uniqKey="Finkelberg E" first="Elisabetta" last="Finkelberg">Elisabetta Finkelberg</name></author><author><name sortKey="Casellato, Stefano" sort="Casellato, Stefano" uniqKey="Casellato S" first="Stefano" last="Casellato">Stefano Casellato</name></author><author><name sortKey="Bozzini, Giorgio" sort="Bozzini, Giorgio" uniqKey="Bozzini G" first="Giorgio" last="Bozzini">Giorgio Bozzini</name></author><author><name sortKey="Maruccia, Serena" sort="Maruccia, Serena" uniqKey="Maruccia S" first="Serena" last="Maruccia">Serena Maruccia</name></author><author><name sortKey="Marenghi, Carlo" sort="Marenghi, Carlo" uniqKey="Marenghi C" first="Carlo" last="Marenghi">Carlo Marenghi</name></author><author><name sortKey="Picozzi, Stefano" sort="Picozzi, Stefano" uniqKey="Picozzi S" first="Stefano" last="Picozzi">Stefano Picozzi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="doi">10.1007/s12253-015-9931-x</idno><idno type="RBID">pubmed:25862670</idno><idno type="pmid">25862670</idno><idno type="wicri:Area/PubMed/Corpus">000091</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000091</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Are Histological Findings of Thulium Laser Vapo-Enucleation Versus Transurethral Resection of the Prostate Comparable?</title><author><name sortKey="Carmignani, Luca" sort="Carmignani, Luca" uniqKey="Carmignani L" first="Luca" last="Carmignani">Luca Carmignani</name><affiliation><nlm:affiliation>Academic Urology Department, IRCCS Policlinico San Donato, University of Milan, Via Morandi 30, 20097, San Donato Milanese, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Macchi, Alberto" sort="Macchi, Alberto" uniqKey="Macchi A" first="Alberto" last="Macchi">Alberto Macchi</name></author><author><name sortKey="Ratti, Dario" sort="Ratti, Dario" uniqKey="Ratti D" first="Dario" last="Ratti">Dario Ratti</name></author><author><name sortKey="Finkelberg, Elisabetta" sort="Finkelberg, Elisabetta" uniqKey="Finkelberg E" first="Elisabetta" last="Finkelberg">Elisabetta Finkelberg</name></author><author><name sortKey="Casellato, Stefano" sort="Casellato, Stefano" uniqKey="Casellato S" first="Stefano" last="Casellato">Stefano Casellato</name></author><author><name sortKey="Bozzini, Giorgio" sort="Bozzini, Giorgio" uniqKey="Bozzini G" first="Giorgio" last="Bozzini">Giorgio Bozzini</name></author><author><name sortKey="Maruccia, Serena" sort="Maruccia, Serena" uniqKey="Maruccia S" first="Serena" last="Maruccia">Serena Maruccia</name></author><author><name sortKey="Marenghi, Carlo" sort="Marenghi, Carlo" uniqKey="Marenghi C" first="Carlo" last="Marenghi">Carlo Marenghi</name></author><author><name sortKey="Picozzi, Stefano" sort="Picozzi, Stefano" uniqKey="Picozzi S" first="Stefano" last="Picozzi">Stefano Picozzi</name></author></analytic><series><title level="j">Pathology oncology research : POR</title><idno type="eISSN">1532-2807</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We investigated if an adequate histological diagnosis can be made from tissue after Thulium laser vapo-enucleation of the prostate (ThuVEP) and whether it is comparable to transurethral prostate resection (TURP) tissue findings in patients with symptomatic benign prostatic hyperplasia. We analyzed 350 ThuLEP and 100 matched TURP tissue specimens from patients who underwent one of the two procedures between January 2009 and June 2014. Thulium Laser Enucleation of Prostate (ThuVEP) was combined with mechanical morcellation of the resected lobe. Each histological specimen was reviewed by two pathologists. Preoperative prostate ultrasound volume, total serum prostatic specific antigen and postoperative tissue weight were evaluated. Microscopic histological diagnosis was assessed by standard histological techniques and immunohistochemical evaluation. Patients were comparable in terms of age and preoperative total serum prostate specific antigen. Incidental adenocarcinoma and high grade PIN of the prostate were diagnosed in a comparable percent of specimens in the 2 groups (2.5 % in the ThuVEP group versus 3 % in the TURP group). Tissue thermal artifacts induced by the Thulium laser are mostly due to coagulation as that of the conventional monopolar diathermy in TURP. Tissue quality was maintained in the ThuVEP histological specimens. Tissue maintain histological characteristics and proprieties without modification for successive immunoistochemical analysis. The pathologist ability to detect incidental prostate cancer and PIN was maintained even if there is a quoted of vaporized tissue.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="In-Process"><PMID Version="1">25862670</PMID><DateCreated><Year>2015</Year><Month>08</Month><Day>28</Day></DateCreated><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2807</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Pathology oncology research : POR</Title><ISOAbbreviation>Pathol. Oncol. Res.</ISOAbbreviation></Journal><ArticleTitle>Are Histological Findings of Thulium Laser Vapo-Enucleation Versus Transurethral Resection of the Prostate Comparable?</ArticleTitle><Pagination><MedlinePgn>1071-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s12253-015-9931-x</ELocationID><Abstract><AbstractText>We investigated if an adequate histological diagnosis can be made from tissue after Thulium laser vapo-enucleation of the prostate (ThuVEP) and whether it is comparable to transurethral prostate resection (TURP) tissue findings in patients with symptomatic benign prostatic hyperplasia. We analyzed 350 ThuLEP and 100 matched TURP tissue specimens from patients who underwent one of the two procedures between January 2009 and June 2014. Thulium Laser Enucleation of Prostate (ThuVEP) was combined with mechanical morcellation of the resected lobe. Each histological specimen was reviewed by two pathologists. Preoperative prostate ultrasound volume, total serum prostatic specific antigen and postoperative tissue weight were evaluated. Microscopic histological diagnosis was assessed by standard histological techniques and immunohistochemical evaluation. Patients were comparable in terms of age and preoperative total serum prostate specific antigen. Incidental adenocarcinoma and high grade PIN of the prostate were diagnosed in a comparable percent of specimens in the 2 groups (2.5 % in the ThuVEP group versus 3 % in the TURP group). Tissue thermal artifacts induced by the Thulium laser are mostly due to coagulation as that of the conventional monopolar diathermy in TURP. Tissue quality was maintained in the ThuVEP histological specimens. Tissue maintain histological characteristics and proprieties without modification for successive immunoistochemical analysis. The pathologist ability to detect incidental prostate cancer and PIN was maintained even if there is a quoted of vaporized tissue.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carmignani</LastName><ForeName>Luca</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Academic Urology Department, IRCCS Policlinico San Donato, University of Milan, Via Morandi 30, 20097, San Donato Milanese, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Macchi</LastName><ForeName>Alberto</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Ratti</LastName><ForeName>Dario</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Finkelberg</LastName><ForeName>Elisabetta</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Casellato</LastName><ForeName>Stefano</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Bozzini</LastName><ForeName>Giorgio</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Maruccia</LastName><ForeName>Serena</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Marenghi</LastName><ForeName>Carlo</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Picozzi</LastName><ForeName>Stefano</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>04</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Pathol Oncol Res</MedlineTA><NlmUniqueID>9706087</NlmUniqueID><ISSNLinking>1219-4956</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>11</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>3</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>4</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>4</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1007/s12253-015-9931-x</ArticleId><ArticleId IdType="pubmed">25862670</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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