DIAGNOSTIC-SIGNIFICANCE OF PROSTATE-SPECIFIC ANTIGEN AND THE DEVELOPMENT OF A MASS-SCREENING SYSTEM FOR PROSTATE-CANCER

被引:44
作者
IMAI, K [1 ]
ICHINOSE, Y [1 ]
KUBOTA, Y [1 ]
YAMANAKA, H [1 ]
SATO, J [1 ]
机构
[1] GUNMA CANC CTR HOSP,GUNMA,JAPAN
关键词
ANTIGENS; NEOPLASM; PROSTATIC NEOPLASMS; DIAGNOSIS; DIAGNOSTIC TESTS; ROUTINE;
D O I
10.1016/S0022-5347(01)66983-0
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: The significance of prostate specific antigen (PSA) in the mass screening for prostate cancer was investigated. Materials and Methods: A total of 4,375 PSA, digital rectal and transrectal ultrasonographic examinations was performed on 3,526 subjects. Results: Among the 3 modalities, PSA had the highest sensitivity (80.4%) and positive predictive value (45.1%). We established age-specific reference PSA ranges for normal Japanese men, and demonstrated the significance of PSA density and PSA velocity. Conclusions: The significance of PSA as a prostate cancer screening modality should be evaluated across multiple age ranges and in combination with previous PSA data and/or prostate volume.
引用
收藏
页码:1085 / 1089
页数:5
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