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Open Access 01-12-2023 | Magnetic Resonance Imaging | Educational Review

Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)

Authors: Adalgisa Guerra, Beatriz Flor-de-Lima, Gonçalo Freire, Ana Lopes, João Cassis

Published in: Insights into Imaging | Issue 1/2023

Abstract

Recent advancements on nerve-sparing robotic prostatectomy allow fewer side effects such as urinary incontinence and sexual dysfunction. To perform such techniques, it is essential for the surgeon to know if the neurovascular bundle is involved. Despite being the gold-standard imaging method for Prostate Cancer (PCa) staging, Magnetic Resonance Imaging (MRI) lacks high specificity for detecting extracapsular extension (ECE). Therefore, it is essential to understand the pathologic aspects of ECE to better evaluate the MRI findings of PCa. We reviewed the normal MRI appearance of the prostate gland and the periprostatic space and correlated them to prostatectomy specimens. The different findings of ECE and neurovascular bundle invasion are exemplified with images of both MRI and histologic specimens.

Graphical abstract

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Title: Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)
Authors: Adalgisa Guerra
Beatriz Flor-de-Lima
Gonçalo Freire
Ana Lopes
João Cassis
Publication date: 01-12-2023
Publisher: Springer Vienna
Keywords: Magnetic Resonance Imaging
Magnetic Resonance Imaging
Prostate Cancer
Prostate Cancer
Published in: Insights into Imaging / Issue 1/2023
Electronic ISSN: 1869-4101
DOI: https://doi.org/10.1186/s13244-023-01428-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)

Abstract

Graphical abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Graphical abstract

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