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Positive surgical margin during radical prostatectomy: overview of sampling methods for frozen sections and techniques for the secondary resection of the neurovascular bundles.

Sighinolfi Maria ChiaraAhmed EissaValentina SpandriStefano PuliattiSalvatore MicaliLuca Reggiani BonettiLaura BertoniGiampaolo BianchiBernardo Rocco
Published in: BJU international (2020)
There is no homogeneity in prostate sampling for FS analysis, although most recent evidence is moving toward a systematic sampling of the entire NS area. The management of a PSM is variable and can be affected by the sampling strategy (difficult localisation of the persisting tumour at the NVB). The difficult identification of the exact soft tissue location contiguous to a PSM could be considered as the critical point of FS analysis and of spared-NVB management.
Keyphrases
  • prostate cancer
  • radical prostatectomy
  • soft tissue
  • molecular dynamics