Positive Predictive Values in Diagnosis of Incidental Prostate Cancer
Öz
Objective: Although the incidence of incidental prostate cancer (IPCa) decreases in recent years; for patients who performed by transurethral resection of the prostate (TURP) due to bladder outlet obstruction with or without prostatism symptoms (BPH), it is still can be seen. This article purposes to answer two questions a) for urologist, which clinical parameters including obesity and smoking have positive predictive value. b) for pathologists; which materials are wholly sampled for reducing the cancer ?
Methods: We evaluated 1315 cases who were performed by TURP due to bladder outlet obstruction with or without prostatism symptoms the years 2006-2015. The ages of the patients, smoking, body mass index (BMI), digital rectal examination (DRE) findings, preoperative prostate specific antigen (PSA) levels, uroflow values, total prostate volume determined by suprapubic ultrasound and Gleason score were recorded. We analyzed the relationship between these parameters and IPCa. These situation compared with benign prostate tissue materials.
Results: Totally 31 cases (2.35%) were found in the IPCa. While the cases of 24 were pT1a, 7 cases were pT1b. Age, body mass index, PSA, peak current speed and mean flow rate parameters respectively 8.887, 5.668, 9.660, 4.814 and 3.716 times as an incidental effect in detecting prostate cancer has been concluded.
Conclusion: Older patient age, over the 25 kg/m2 of BMI, over the 4 ng/dl of PSA levels, the peak flow rate less than 10 ml/sec and the mean flow rate less than 5 ml/sec might be independent risk factors for detecting IPCa. More external validation is needed for confirming our results.
Key words: Incidental prostate cancer, clinic parameters, diagnosis
Anahtar Kelimeler
Kaynakça
- Sakamoto H, Matsumoto K, Hayakawa N, et al. Preoperative
- parameters to predict incidental (T1a and T1b) prostate cancer. Can Urol Assoc J 2014;8:815-820.
- Andren O, Garmo H, Mucci L, et al. Incidence and mortality of incidental prostate cancer: a Swedish register-based study. Br J Cancer 2009;100:170-173.
- Tombal B, De Visccher L, Cosyns JP, et al. Assessing the risk of unsuspected prostate cancer in patients with benign prostatic hypertrophy: a 13-year retrospective study of the incidence and natural history of T1a-T1b prostate cancers. BJU Int 1999;84:15-20.
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- Jones JS, Follis HW, Johnson JR. Probability of finding T1a and T1b (incidental) prostate cancer during TURP has decreased in the PSA era. Prostate Cancer Prostatic Dis 2009;12:57-60.
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Ayrıntılar
Birincil Dil
Türkçe
Konular
-
Bölüm
-
Yazarlar
Caner Ediz
Bu kişi benim
Ayşe İhvan
Bu kişi benim
Hüseyin Hayit
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Nermin Koç
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Cumhur Topal
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Yayımlanma Tarihi
1 Mart 2016
Gönderilme Tarihi
29 Mart 2016
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2016 Cilt: 43 Sayı: 1