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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2005, Number 6

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Rev Mex Urol 2005; 65 (6)

Importance of PSA density in prostate cancer diagnose

Garza MME, López E, Figueroa V, Feria G, Méndez C, Negrete O, León F
Full text How to cite this article

Language: Spanish
References: 8
Page: 427-430
PDF size: 54.67 Kb.


Key words:

PSA density, transitional zone density, prostate cancer.

ABSTRACT

Introduction. The prostatic specific antigen (PSA) is the cornerstone in prostate cancer (PCa) detection. To increase the sensibility and specificity of this assay, the free percentage, age adjusted, PSA velocity, total density and transitional zone (TZ) density have been used. Objectives. To analize the impact of the PSA density and transitional zone density in the diagnosis of PCa. Patients and methods. We analized the prostatic volume, PSA level, PSA density and TZ density and pathology report in patients who underwent prostatic biopsy at our institution. Results. We included 98 patients in our study and found a statistical difference in the relation of PSA density-cutoff 0.15- (p ‹ 0.001, RR 1.63), TZ density -cutoff 0.30- (p = 0.001) and PCa. Conclusions. In our population, PSA density and TZ density are useful to predict the probability of PCa in patients with PSA level above 4 ng/dL.


REFERENCES

  1. Zlotta AR. Prostate specific antigen density of the transition Zone: a new effective parameter for prostate cancer Prediction. J Urol 1997; 157: 1351.

  2. Maeda H. Prostate specific antigen adjusted for the transition zone volume as an indicator of prostate cancer. J Urol 1997; 158.

  3. Bazinet M. Prospective evaluation of prostate-specific density and systematic biopsies for early detection of prostatic carcinoma. Urology 1994; 43.

  4. Beduschi MC. Prostate-specific antigen density. Urol Clin N Am 1997; 24: 323.

  5. Int J Clin Oncol 2000; 5: 236-40.

  6. Kalish J, Serum PSA. Adjusted for volume of transition zone (PSAT) is more accurate than PSA adjusted for total gland volume (PSAD) in detecting adenocarcinoma of the prostate. Urology 1994; 43: 601.

  7. Lin DW. Transition zone prostate specific antigen density: Lack of use in prediction of prostatic carcinoma. J Urol 1998: 160-77.

  8. Morote J. Comparison of percent free prostate specific antigen and prostate specific antigen density as methods to enhance prostate specific antigen specificity in Early prostate cancer detection in men with normal rectal examination and Prostate specific antigen between 4.1 and 10 ng/dL. J Urol 1994; 158: 502.




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Rev Mex Urol. 2005;65