Document Type : Original Article


1 Urology

2 General Surgery Kidney

3 Health

4 Raidiology, SKIMS, Srinagar, Kashmir, India


Objective: To estimate the incidence of hyperechoic, hypoechoic, isoechoic, prostatic cancer in
TRUS (transrectal ultrasound guided) guided prostatic specimens. Materials and Methods: Four
hundred and ninety three patients with raised serum prostatic specific antigen (PSA) and
abnormal DRE findings were subjected to TRUS‑Guided prostate biopsy. Lateralized sextant
biopsy plus prostatic cores from suspicious areas were obtained. Results: Out of 493 patients
who were enrolled in the study, 65 (13.18) patients showed hyperechoic lesions on TRUS and
211 (42.79) patients had hypoechoic lesions on TRUS. Conclusion: Our study has revealed
that hyperechoic lesions on transrectal ultrasonography have more chances of prostatic
cancer as reported in previous literature, so we suggest that we should take additional biopsy
of hyperechoic lesions and perhaps it should be part of the standard protocol in patients
suspected cancer prostate.


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