ABSTRACT

The prostate needle biopsy is the gold standard for the tissue diagnosis of prostate cancer and provides data vital to clinical decision-making. Now that the majority of prostate cancers are detected with serum prostate-specific antigen (PSA) screening and transrectal ultrasoundguided biopsy, accurate interpretation of needle biopsy reports is particularly important for informed care guidance in asymptomatic men with localized disease. In this chapter, we outline the information contained in needle biopsy reports and explain how to apply this information to clinical practice. We do not discuss the indications for and techniques of prostate needle biopsy, as these are topics featured in other chapters.