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Imaging of the Male Pelvis

  • Chapter
Diseases of The Abdomen and Pelvis

Abstract

Prostate cancer continues to be the leading cancer among American men, with 184,500 new cases annually [1]. It has been estimated that 39,200 men died of prostate cancer in the U.S.A. in 1998. This makes prostate cancer the second cause of cancer-related death in men [2, 3]. Furthermore, the probability of developing prostate cancer from birth to death is 20% [3]. Treatment selection is dependent on patient age and health, cancer stage and grade, morbidity and mortality of treatment, as well as patient and physician preference. The mainstay for organ-confined disease is either radical surgery or curative radiotherapy [4, 5]. This is only considered an option in the absence of seminal vesicle infiltration (SVI), extension through the prostatic capsule (extracapsular extension, ECE) or metastatic disease. Therefore, the purpose of staging is the possible detection of extraprostatic disease. Clinical staging by digital rectal examination (DRE) and prostate specific antigen (PSA) remains as yet inaccurate. Imaging modalities such as transrectal ultrasound (TRUS) and magnetic resonance (MR) imaging can be used to increase staging accuracy.

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Barentsz, J.O., Wagner, B.J., Abouh-Bieh, E. (2006). Imaging of the Male Pelvis. In: Hodler, J., Von Schulthess, G.K., Zollikofer, C.L. (eds) Diseases of The Abdomen and Pelvis. Springer, Milano. https://doi.org/10.1007/88-470-0508-6_23

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