摘要
目的:分析我院前列腺癌诊断现状,以提高前列腺癌的早期诊断水平.方法:回顾性分析我院1998年4月～2003年4月收治的50例前列腺癌患者临床资料.50例患者分别通过直肠指检(DRE)、前列腺特异抗原(PSA)、经直肠B超(TRUS)、前列腺穿刺活检、CT、MRI、同位素骨扫描(ECT)等检查明确诊断.结果:DRE提示前列腺增大、质地坚硬或触及结节36例(72%);PSA＜4×10-3ng/L 3例(6%),PSA(4～10)×10-3 ng/L 7例(14%),PSA＞10×10-3ng/L 40例(80%);前列腺穿刺活检阳性74.4%(32/43);TRUS诊断符合率84%(42/50);CT、MRI诊断符合率40%(20/50);ECT诊断符合率60%(30/50).病理分期为A期和B期10例(20%),C期和D期40例(80%).结论:前列腺癌的早期诊断仍是一个急待解决的问题,开展有关前列腺癌的预防教育工作,提高患者防范意识及医务人员的诊断意识,定期专科检查和加强特定人群的随访意识,可提高前列腺癌的早期诊断率.
Objective：Analyzing the present status of diagnosis of prostatic cancer in our department so as to improve early detection of this disease. Methods：50 cases of prostatic cancer were diagnosed by digital rectal examination（ DRE）, serum prostatic antigen（ PSA）, transrectal ultrasound screening （ TRUS）, prostatic biopsy, CT, MRI, ECT. Results：Among the 50 patiems,patients 36 cases（72%） were positive by DRE. There were 3 cases（6%） whose PSA were lower than 4×10^-3 ng/L,7 cases（14%） PSA （4-10）×10^-3 ng/L,40 cases（80%） PSA higher than 10×10 3 ng/L,of 43 cases of prostatic biopsy,32（74.4%） were positive. The detective rate of transrectal ultrasound screening was 84%,CT,MRI 40%, ECT 60 %. 10 cases（20%） were stage of A and B and 40 cases （80 % ）were stage C and D. Conclusions：Early detection of pcostatic cancer is still a question to be solved. Propagating knowledge of prostatic disease,seeking medical advice and examined by specialist timely after 50 years of age might increase early diagnostic rate.
出处
《临床泌尿外科杂志》
2005年第9期553-554,557,共3页
Journal of Clinical Urology
关键词
前列腺肿瘤
癌
诊断
Prostatic neoplasms
Carcinoma
Diagnosis
