[Parameters of PSA fractions in early diagnosis of prostatic cancer in healthy males over 50].

Urologiia i nefrologiia Pub Date : 1999-01-01
O B Loran, L V Krokhotina, D Iu Pushkar', A Z Valiev, P I Rasner
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引用次数: 0

Abstract

292 symptomless males aged 50-85 years were examined for blood prostate-specific antigen (PSA) for early diagnosis of prostatic cancer. Males with total PSA (TPSA) higher than age-specific standard underwent free PSA (FPSA) assay to estimate FPSA/TPSA and transperineal biopsy of the prostate. TPSA ranged from 0.3 to 112.0 ng/ml and exceeded the age standard in 102 examinees (35%). Prognostically unfavorable FPSA/TPSA (under 15%) was registered in 17(5.8%) examinees. Biopsy of the prostate has revealed cancer in 7 of them. Among those whose TPSA was above the standard, but FPSA/TPSA > 15%, morphologically verified prostatic cancer was detected in 5 males. It is thought valid to include the method of PSA fractions estimation in the program of screening for males at risk to develop prostatic cancer as it is simple, cost effective and highly informative.

[50岁以上健康男性前列腺癌早期诊断的PSA分数参数]。
本文对292例50 ~ 85岁无症状男性进行前列腺特异性抗原(PSA)检测,以期早期诊断前列腺癌。总PSA (TPSA)高于年龄特异性标准的男性进行游离PSA (FPSA)测定以估计FPSA/TPSA和前列腺经会阴活检。TPSA范围在0.3 ~ 112.0 ng/ml之间,102例(35%)超过年龄标准。17名(5.8%)考生预后不良的FPSA/TPSA(低于15%)。前列腺活检显示其中7人患有癌症。在TPSA高于标准,但FPSA/TPSA > 15%的男性中,形态学证实有5人检出前列腺癌。认为将PSA分值估算方法纳入前列腺癌高危男性筛查方案是有效的,因为它简单、经济、信息丰富。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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