使用快速一步PSA检测前列腺癌筛查

A. Elsofy
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摘要

背景与目的:为了提高前列腺癌(PC)筛查的便利性和降低筛查成本,在大范围人群中研究一步前列腺特异性抗原(PSA)检测方法。PSA快速检测试剂盒通过检测人血清或血浆中PSA达到或高于4 ng/mL的阈值水平来帮助诊断PC。本研究的目的是使用快速一步PSA测试筛选PC。材料和方法:在2020年7月至2021年8月期间,在埃及开罗的国家泌尿科和肾脏病研究所,男性与会者使用PSA快速测试进行PC筛查。总共测试了305名男性的血液样本。该试验由两个独立的观察员进行解释。随后,使用标准定量技术检查剩余的血清样本。结果:305名参与者中,118人PSA值低于4 ng/mL, 55人PSA值高于4 ng/mL。共有63名参与者的PSA值在4至10 ng/mL之间。共有12名参与者的PSA值> 10 ng/mL;10被认为是积极的。两种方法的显色反应强度呈正相关(相关检验:P< 0.0001)。结论:一步法是一种良好的初步筛选方法,阳性结果可量化,对PSA升高程度提供半定量的估计。该测试价格低廉,易于操作,并能及时提供结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prostate Cancer Screening Using a Quick One-Step PSA Test
Background and aim: A one-step prostate-specific antigen (PSA) test was studied in a large population to improve the convenience and lower the cost of prostate cancer (PC) screening. The PSA rapid test kit aids in the diagnosis of PC by detecting human PSA in serum or plasma at or above a threshold level of 4 ng/mL. The aim of this study is to screen PC using a Quick One-Step PSA Test. Materials and Methods: Between July 2020 and August 2021, at National institute of urology and nephrology, Cairo, Egypt, Male attendees were offered PC screening utilizing the PSA quick test. A total of 305 men's blood samples were tested. The test was interpreted by two independent observers. Following that, the remaining serum samples were examined using a standard quantitative technique. Results: Of 305 participants, 118 had a PSA value of less than 4 ng/mL, and 55 presented a PSA value higher than 4 ng/mL. A total of 63 participants had a PSA value between 4 and 10 ng/mL. A total of 12 participants presented a PSA value > 10 ng/mL; 10 was judged as positive. The intensity of the color reaction was implying a strong positive correlation between the two methods (correlation test: P< 0.0001). Conclusion: The one-step test is a good preliminary screening method from which positive results may be quantified to provide a semi-quantitative estimate of the degree of PSA rise. The test is inexpensive, easy to do, and provides results in a timely manner.
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