Prostate cancer is examined early Living and examining the opportunity has new statements
It is reported ' Reporter Wang XueFei) Peking University clinical the intersection of tumour and the intersection of institute and ring Li,etc. research and propose, in the male crowd in China, peculiar antigen (PSA) of prostate while acting as the blood Higher than 10ng/ml or rectum and refer to examining while touching prostate tubercle, just proposes paying the prostate to puncture and check. This result of study is published on " China's medical magazine " recently. This research has been offered to male prostate cancer early practical standard and method to examine in our country, bitterness of making the patient avoid puncturing.
At present, make a definite diagnosis of the way as puncturing by the prostate, fetch and organize pathology to live and examine in generally acknowledged prostate cancer. In order to reduce the patient's agony, the doctor often sifts to the high-risk group of the right age for the first time the blood PSA, unusually person puncture and examine alive PSA again. For many years, our country has continued to use the foreign peculiar antigenic critical value (4ng/ml) of prostate Carry on tumour examine early, but PSA higher than 4ng/ml, must go on, puncture, examine living, and is lower than 4ng/ml and give up and examine alive?
In order to clarify the above-mentioned problem, the symptoms or men with family's history of prostate mean examining and sifting checking PSA and rectum researchers' urinating, sift out 1172 PSA persons who higher thans 4ng/ml together, 72 PSAs are lower than 4ng/ml but the rectum points and examines the patient with prostate tubercle. They puncture and examine alive these 1244 patients of suspected prostate cancer. The result reveals, there is 397 example pathology that prove prostate cancer in 1244, account for 1/3 of suspected crowd's total number, and the positive rate increases with rising of PSA value. Researchers think: When PSA is higher than 10ng/ml, should highly suspect prostate cancer, deal with a patient and puncture pathology; When PSA is in 4ng/ml 10ng/ml, should consult the ratio of free PSA to total PSA and is smaller than 0.16, considers again whether to puncture; Every rectum means examining and finding the person who has prostate tubercle, no matter PSA value level, should all puncture the inspection.
Prostate cancer is examined early Living and examining the opportunity has new statements
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