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J Clin Pathol 56:336-340 doi:10.1136/jcp.56.5.336
  • Review

Guidelines for processing and reporting of prostatic needle biopsies

Table 1

Prostatic needle biopsy diagnosis and clinical relevance in early detection programme (The Rotterdam algorithm22)

Diagnosis Consequence
PIN, prostatic intraepithelial neoplasia.
Inadequate material Repeat sextant biopsies within 1 year
Benign Rescreening at the regular intervals
Inflammation, either acute or granulomatous Rescreening at the regular intervals
Isolated high grade PIN, no cancer, no lesion suspect for cancer Repeat sextant needle biopsies within 6 months
Lesion suspect for cancer, no definite cancer Additional biopsies from region suspected of carcinoma within 6 weeks
Definite adenocarcinoma Referal to clinician/treatment
Other malignancy Referal to clinician/treatment

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