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CT

T-Staging: Detection

T 1 – not palpable

not detectable

T 2 – confined to prostate

not detectable

T 3/4 – extracapsular extension: infiltration of

seminal vesicles, neurovascular bundle,

rectum, bladder

difficult

Grading: not possible

CT not the method of choice

MRI

Benign Hyperplasia

Origin in central gland

Elevation of bladder

Protrusion of middle lobe

Confined within capsule

T2a

T2b T2c

(<50% 1 lobe) (>50% 1 lobe) (both lobes)

Prostate Carcinoma

Prostate Carcinoma

T3b

extracapsular extension + infiltration of seminal vesicles

Extracapsular Extension

Hricak H, Cancer 2004