老年人前列腺癌的早期诊断(附45例分析)

Early diagnosis of prostate cancer in elderly:A report of 45 cases

目的 指出临床早期诊断对老年前列腺癌 (PC)的病理分期及愈后有重要意义。方法 分析了 5年来我院收治的经病理确诊的 45例老年前列腺癌的临床特点。结果 较准确的早期诊断方法为直肠指检 (DRE)、血清前列腺特异抗原 (PSA)、经直肠前列腺B超 (TRUS)、经直肠前列腺活检 ,阳性率分别为 83 %、82 %、76%、73 %。结论 老年人应定期体检 ,前列腺癌的筛选应以PSA为基础 ,结合肛诊。

Objective To emphasize that early diagnosis of prostate cancer is very important for the patient′s pathogenesis and prognosis.Methods Clinical characteristics of forty five histologically confirmed cases of prostate cancer being cared in our hospital in recent five years were analysed.Results The exact methods of early diagnosis were digital rectal examination(DRE),prostatic specific antigen (PSA),transrectal ultrasonography (TRUS) and transrectal prostate aspiration biopsy,and the positive rate was 83%,82%,76%,and 73% respectively.Conclusions In elderly male screening for PC should be based on PSA and combined with DRE,TRUS and transrectal aspiration biopsy. [