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We sought to determine the utility of adding apical anterior horn biopsies to systematic prostate sampling regimens in detecting cancer in men with measured prostate volume =<50 cc. We reviewed the biopsy data of consecutive men referred for an abnormal digital rectal exam or PSA elevation >=4.0 ng/mL. All of these patients underwent lesion directed biopsy as well as a systematic 12-core biopsy...
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