Snir Dekalo1,2, Ohad Mazliah2, Eyal Barkai1,2, Yuval Bar-Yosef1,2, Haim Herzberg1,2, Tomer Bashi1,2, Ibrahim Fahoum2,3, Sophie Barnes2,4, Mario Sofer1,2, Ofer Yossepowitch1,2, Gal Keren-Paz1,2, Roy Mano1,2
Canadian Journal of Urology, Vol.31, No.4, pp. 11955-11962, 2024
Abstract Introduction: Most men diagnosed with very-low
and low-risk prostate cancer are candidates for active
surveillance; however, there is still a misclassification risk.
We examined whether PI-RADS category 4 or 5 combined
with ISUP 1 on prostate biopsy predicts upgrading and/
or adverse pathology at radical prostatectomy.
Materials and methods: A total of 127 patients had
ISUP 1 cancer on biopsy after multiparametric MRI
(mpMRI) and then underwent radical prostatectomy. We
then evaluated them for ISUP upgrading and/or adverse
pathology on radical prostatectomy.
Results: Eight-nine patients (70%) were diagnosed
with PI-RADS 4 or 5 lesions. ISUP upgrading was significantly… More >