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Diagnosing Prostate Cancer

Posted on September 5, 2017 by Howard Frey, M.D., Medical Director, The Urologic Oncology Center, Valley-Mount Sinai Comprehensive Cancer Care

Prostate cancer is the most common cancer among men (after skin cancer), but it can be treated successfully. In fact, more than 2 million men in the U.S. count themselves as prostate cancer survivors. Most cases of prostate cancer occur in men older than 50, and two out of three cases are in men over 65.

Prostate cancer can be hard to detect, because patients often do not have symptoms at the time of diagnosis. Deciding what to do about prostate cancer can be challenging.  It is important to distinguish between aggressive, potentially lethal prostate tumors, and those that are indolent and not life-threatening.

Fortunately, a new technology is available that can help with both predicting prostate cancer aggressiveness and detecting prostate cancer. It’s called fusion guided biopsy, and Valley–Mount Sinai Comprehensive Cancer Care is proud to offer the UroNav Fusion Biopsy System to its patients as an outpatient procedure.

This targeted MRI/ultrasound biopsy is poised to become a new standard in prostate cancer screening. The UroNav Fusion Biopsy System fuses pre-biopsy MRI images of the prostate with ultrasound-guided biopsy images in real time to target suspicious areas for biopsy.

In a standard biopsy, the tissue sampling is done via ultrasound, but there are no targeted areas.  This can pose an issue if the prostate is enlarged because random sampling without a target can miss an aggressive tumor, but find inconsequential non-aggressive prostate cancer that does not require treatment.  

Fusion Biopsy greatly improves on the standard technique. First, a prostate MRI is obtained.  If a suspicious area is identified, the result can be transferred to the prostate ultrasound providing a target.  Thus a directed biopsy is obtained and is more likely to show an intermediate to aggressive cancer.  The biopsy results are then utilized to guide patients in selecting an appropriate treatment modality.

About Valley-Mount Sinai Comprehensive Cancer Care’s Urologic Oncology Center

Valley-Mount Sinai Comprehensive Cancer Care offers a multidisciplinary Urologic Oncology Center, a unique program that serves as a one-stop, complete resource for patients who have prostate and other urologic cancers. Patients at The Valley Hospital's Urologic Oncology Center are treated by a multidisciplinary team that closely reviews each case and comes to a consensus about a suggested treatment regimen. The team consists of urology, radiation oncology, medical oncology and a urology nurse navigator.  They provide a high level of care that incorporates evidence-based medicine and the newest protocols in the field. Patients are able to see all of the necessary medical disciplines within a two hour appointment, facilitating their treatment decision. 
For more information on The Valley Hospital's Urologic Oncology Center, please call 201-634-5567.


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