Autor: |
Hasan Yilmaz, Seyfettin Ciftci, Ufuk Yavuz, Murat Ustuner, Ali Saribacak, Ozdal Dillioglugil |
Jazyk: |
angličtina |
Rok vydání: |
2015 |
Předmět: |
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Zdroj: |
Kaohsiung Journal of Medical Sciences, Vol 31, Iss 6, Pp 315-319 (2015) |
Druh dokumentu: |
article |
ISSN: |
1607-551X |
DOI: |
10.1016/j.kjms.2015.02.006 |
Popis: |
The aim of this study was to evaluate the predictive role of percentage of free prostate-specific antigen (%fPSA) cut-points in prostate cancer (PCa) detection in patients with total PSA (tPSA) levels between 2.5 ng/mL and 10.0 ng/mL. In total, 1321 consecutive initial transrectal ultrasound (TRUS)-guided 12-core biopsies performed between 2005 and 2011 were evaluated retrospectively. Benign pathologies, high-grade prostatic intraepithelial neoplasia, and atypical small acinary proliferations were categorized as noncancerous (benign), and prostate adenocarcinomas were categorized as cancerous (malignant). The patients were categorized according to: Catalona's published %fPSA categories ( 25%); digital rectal examination (DRE) results [benign (negative) or suspicious of malignancy (positive)]. There was a significant relationship between the %fPSA cut-points and detection of PCa in DRE-negative patients. The presence of a 10% cut-point increased the probability of PCa threefold. The %fPSA was significantly more related to PCa than the tPSA value in receiver operating characteristic (ROC) curve analyses (p = 0.001). Based on our findings, a lower %fPSA, especially |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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