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Contrast-Enhanced Sonography for Prostate Cancer Detection in Patients with Indeterminate Clinical Findings

Ahn Yi1, Jeong Kon Kim1, Seong Ho Park1, Kyoung Won Kim1, Ho Sung Kim1, Jung Hoon Kim2, Hyo Won Eun3 and Kyoung-Sik Cho1

1 Department of Radiology, Asan Medical Center, University of Ulsan, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, Korea.
2 Department of Radiology, Soonchunhyang University Hospital, Youngsan-gu, Seoul 140-743, Korea.
3 Department of Radiology, Healthcare System Gangnam Center, Seoul National University Hospital, Gamman-gu, Seoul 135-948, Korea.


Figure 1
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  		Fig. 1A —62-year-old man with prostate cancer noted in lateral and medial portions of mid gland on histologic examination. Gray-scale sonogram shows no focal lesion with hypoechogenicity.

 

Figure 2
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  		Fig. 1B —62-year-old man with prostate cancer noted in lateral and medial portions of mid gland on histologic examination. Color Doppler sonogram shows slightly increased vascularity (arrows) that is noted predominantly in inner gland. However, whether increased vascularity is enough to suggest presence of cancer is uncertain, and therefore observer regarded this finding as negative for prostate cancer.

 

Figure 3
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  		Fig. 1C —62-year-old man with prostate cancer noted in lateral and medial portions of mid gland on histologic examination. Contrast-enhanced sonogram shows strongly increased vascularity (arrows) in lateral and medial portions of mid gland on both sides, suggesting presence of prostate cancer.

 

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