摘要
本文对我院年来经病理证实的前列腺癌作一回顾性探讨。本病发病率逐年增加,近5年来更为明显。本组中,年龄70—79岁的超过1,/3,属晚期的超过1/2和腺癌占91.30%。例 (43.48%)包括偶发癌3例(4.35%)都初诊为BPH(良性前列腺增生症)。经术后病检方才确诊。在DRE(肛指检查)中不对称的占64.58%,其中有结节的占83. 87％。B超和CT在诊断上无特异性。14例晚期的PSA 前列腺特异抗原)测定71.43%>50ng/mL,若>10ng/mL,应作进一步检查。由于本组穿刺活检的阳性率较高 (87.50%),为了早期确诊,若疑前列腺有恶变的宜尽早施行。
A retrospective study of 69 pationts with prostatic cancer diagnosed bypathological examination in past 35 years was presented. The disease incidence hadbeen progressively incrcasing year by year especially in recent 5 years. Amony thesePationts more than 1/3 were with age of 70 - 79 years, more Than half were late cases(C and D Stage 57. 97%) and 91. 30 % were Adenocarcinoma.Of these cases themisdiagnosis rate was 43.98% including incidental carcinoma occured in 4^35 % ofpationts undergoing TURP or enucleation prostatectomy for presumed BPH. Theasymmetry was 64.58% and 83.87% with palpable nodules in DRE. Althrough Bultrasonography nad CT scanning were helpful in diagnosis but were non-specific. As for the PSA detection, there was 71.43 % higher than 50ng/ml.in 14 cases and further diagnosis procedures should be carried out if higher then 10ng/ml. As thepositive rate of puncture biopsy was rather high in this grout (87. 50% ), for early toconfirm the diagnosis it was better to be carried out early, if the prostatic cancer wassuspected.
