前列腺癌患者就诊原因分析(附317例报告)

Primary symptoms of patient with prostate cancer (Report of 317 cases)

目的 :提高前列腺癌 (PCa)的早期诊断水平。方法 :回顾性分析我科 1991年 1月～ 2 0 0 2年 12月间收治的经病理检查证实的 317例PCa患者的临床资料。结果 :在 317例PCa患者中 ,2 85例 (89.9% )有临床症状 ,且绝大多数为泌尿系症状 ,其中 2 2 3例患者出现排尿困难和肉眼血尿症状。结论 :排尿困难症状是发现PCa的重要线索 ,而前列腺特异抗原筛查是发现早期PCa的主要方法。

Objective:To improve early detection of prostate cancer.Method:The datas of 317 cases with prostate cancer diagnosed by histology in our hospital from 1991.1～2002.12 had been analysed retrospectively.Result:Among 317 cases 285 (90%) had clinical symptoms, and most of them had primary urological symptoms. 223 cases had lower urinary tract symptoms and macroscopic hematuria.Conclusion:Primary urological symptoms is a important clue for the detection of prostate cancer.