The role of serum testosterone to prostate-specific antigen ratio as a predictor of prostate cancer risk

Autor: Cenk Gurbuz, Lutfi Canat, Gokhan Atis, Bayram Guner, Turhan Caskurlu
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Kaohsiung Journal of Medical Sciences, Vol 28, Iss 12, Pp 649-653 (2012)
Druh dokumentu: article
ISSN: 1607-551X
DOI: 10.1016/j.kjms.2012.01.003
Popis: We analyzed the ratio of serum total testosterone (sTT) to prostate-specific antigen (PSA) as a predictor of prostate cancer risk. One-hundred-four consecutive men with a normal digital rectal examination and a serum PSA level of 2.5–10 ng/ml underwent transrectal ultrasonography-guided biopsy using a 10-core scheme. The sTT level was determined before the procedure using a chemiluminescent assay, and the ratio of sTT to PSA (sTT/PSA) was calculated after transforming sTT measurements from ng/dL to ng/mL. The overall cancer detection rate was 17.3%. The median sTT level was 332 ng/dl in men with cancer and 413 ng/dL in those without (p = 0.032). The median sTT/PSA ratio in these groups was 0.55 and 0.74, respectively (p = 0.035). The receiver operator characteristic (ROC) method was used to evaluate the properties of the sTT/PSA ratio, with testosterone and PSA as predictors of prostate cancer risk. The accuracy of the sTT/PSA ratio in prostate cancer diagnosis, represented by the area under the curve (AUC), was 0.739 (95% CI 0.640–0.823, p
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