| Autor: |
J, Planelles Gómez, J M, Beltrán Armada, S, Alonso Hernández, M, Tarín Planes, M, Beamud Cortés, M, Gil Salom |
| Rok vydání: |
2008 |
| Předmět: |
|
| Zdroj: |
Actas urologicas espanolas. 32(5) |
| ISSN: |
0210-4806 |
| Popis: |
To identify if there is a group elderly patients with clinical suspicion of prostate cancer in which pathological confirmation may be unnecessary, and if prostatic transrectal fine needle aspiration (FNA) may be a useful diagnostic tool for old patients.A total of 72 patients aged 75-93 years were evaluated by means of prostatic transrectal FNA. Antibiotic prophylaxis, analgesia or cessation of anticoagulant therapy were not necessary.In 35 patients (48.6%) cytological diagnosis was positive for prostatic adenocarcinoma, whereas in 37 cytology was negative for cancer. In 100% of patients with PSA30 ng/ml or with PSA20 ng/ml and suspicious digital rectal examination FNA results were positive for cancer. 4.1% minor and 1.3% major (acute prostatitis) complications after FNA were observed.In male patients older than 75 years with PSA30 ng/ml or with PSA20 ng/ml and suspicious digital rectal examination, histological confirmation of carcinoma by prostatic biopsy may be not necessary, because of the high probability of a positive result. When histological confirmation of prostatic carcinoma is required in elderly patients, transrectal prostatic FNA is a valid alternative to transrectal biopsy, due to its excellent tolerance and low complication rate. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
