Patient and urologist driven second opinion of prostate needle biopsies

Theresa Y. Chan, Jonathan Ira Epstein

Research output: Contribution to journalArticle


Purpose: We reviewed second opinion prostate needle biopsies that were patient and urologist driven to determine how often an expert opinion resulted in a different diagnosis. Materials and Methods: Of 3,155 prostate needle biopsy consultations received during a 6-month interval 684 were sent at the request of the patient or urologist. A significant change in outside diagnosis was one that could potentially result in a change in therapy or prognosis. Results: The second opinion was requested by patients (21.6%), urologist (63.9%) and patients plus urologists (14.5%). The distribution of the 684 outside diagnoses was benign in 6.1%, HGPIN in 7.6%, atypical (ATYP) in 29.8% and cancer in 56.5%. In 241 cases (35.2%) a change in diagnosis was rendered upon expert review. We agreed with the majority of outside cancer, benign and HGPIN diagnoses, in contrast to only 36.8% of outside ATYP cases (p

Original languageEnglish (US)
Pages (from-to)1390-1394
Number of pages5
JournalJournal of Urology
Issue number4 I
StatePublished - Oct 2005



  • Biopsy
  • Prostate
  • Prostatic neoplasms
  • Referral and consultation

ASJC Scopus subject areas

  • Urology

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