How is dx of prostate adenocarcinoma?

• Rarely on TURP, or adenomectomy • Tru-cut biopsies (transrectal) • US or MRI guided Prostate Biopsies (PB) • Systematic approach may involve sextant (6) samples from selected regions of prostate by a spring loaded 18 gauge biopsy (2 cores /site) • Region of interest (ROI) biopsies at a multiparametric MRI targeted lesion • Different sites in separate containers + indication of biopsy site – Base, apex, etc – +/- Inked – Number of cores and lengths should be recorded – Correlation between length of core and PCa detection