Abstract
Urologists have considered themselves to be the experts in the use of digital rectal examination for the evaluation of diseases of the prostate. However, without close attention to the teaching of this examination, it probably is inaccurate and unreliable. Moreover, many patients who are destined to die of prostate cancer never develop a palpable abnormality. In patients with prostate cancer, a palpable abnormality usually indicates the presence of carcinoma, but the majority of patients will be upstaged by pathologic examination. In patients undergoing a digitally guided biopsy, it appears critical that those with a negative biopsy be followed closely, as they have a measurable risk of developing overt carcinoma. It is unclear how transrectal ultrasound will interface with digital rectal examination because of the multiple echo patterns this disease can exhibit.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 459-465 |
| Number of pages | 7 |
| Journal | Urologic Clinics of North America |
| Volume | 18 |
| Issue number | 3 |
| State | Published - 1991 |
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ASJC Scopus subject areas
- Urology
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Digital rectal examination and carcinoma of the prostate. / Phillips, T. H.; Thompson, I. M.
In: Urologic Clinics of North America, Vol. 18, No. 3, 1991, p. 459-465.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Digital rectal examination and carcinoma of the prostate
AU - Phillips, T. H.
AU - Thompson, I. M.
PY - 1991
Y1 - 1991
N2 - Urologists have considered themselves to be the experts in the use of digital rectal examination for the evaluation of diseases of the prostate. However, without close attention to the teaching of this examination, it probably is inaccurate and unreliable. Moreover, many patients who are destined to die of prostate cancer never develop a palpable abnormality. In patients with prostate cancer, a palpable abnormality usually indicates the presence of carcinoma, but the majority of patients will be upstaged by pathologic examination. In patients undergoing a digitally guided biopsy, it appears critical that those with a negative biopsy be followed closely, as they have a measurable risk of developing overt carcinoma. It is unclear how transrectal ultrasound will interface with digital rectal examination because of the multiple echo patterns this disease can exhibit.
AB - Urologists have considered themselves to be the experts in the use of digital rectal examination for the evaluation of diseases of the prostate. However, without close attention to the teaching of this examination, it probably is inaccurate and unreliable. Moreover, many patients who are destined to die of prostate cancer never develop a palpable abnormality. In patients with prostate cancer, a palpable abnormality usually indicates the presence of carcinoma, but the majority of patients will be upstaged by pathologic examination. In patients undergoing a digitally guided biopsy, it appears critical that those with a negative biopsy be followed closely, as they have a measurable risk of developing overt carcinoma. It is unclear how transrectal ultrasound will interface with digital rectal examination because of the multiple echo patterns this disease can exhibit.
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UR - http://www.scopus.com/inward/citedby.url?scp=0025772365&partnerID=8YFLogxK
M3 - Article
C2 - 1877107
AN - SCOPUS:0025772365
VL - 18
SP - 459
EP - 465
JO - Urologic Clinics of North America
JF - Urologic Clinics of North America
SN - 0094-0143
IS - 3
ER -