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前列腺特异性抗原在前列腺癌诊断中的临床意义

The Clinical Significance of Prostate Specific Antigen in The Diagnois of Prostatic Cancer

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【作者】 闫勇沈寅初陈立煌冯进李正非赵兴奇梁国标

【Author】 Yan Yong et al.( Department of UrologyAffiliated Hospital, Zunyi Medical College ,Ningbo 563003)

【机构】 遵义医学院附院泌尿外科遵义医学院附院同位素科

【摘要】 对经病理证实的57例前列腺增生和19例前列腺癌患者作PSA双抗体放射免疫测定,并对其临床资料进行分析。结果显示:前列腺癌组的ISA平均水平(56.89±23.93ug/L)明显超过前列腺增生组(7.99±2.26ug/L(P<0.01),前列腺癌阳性检出率为78.9%(15/19),对临床筛选前列腺癌具有重要意义;但由于PSA值测定时影响因素较多,前列腺增生38.6%(22/57)与早期前列腺癌有重叠现象,在分析结果时宜综合判断;此外,PSA水平对前列腺癌的临床分期也是重要参考指标。

【Abstract】 Serum Prostate Specific Antigen(PSA) assay by mean of radioimmunoassay was carried out and evaluated in 57 bening prostatic hyperplasia (BPH) and in 19 prostatic cancer(PCa)diagnosed by pathology. The mean PSA level of PCa (56.89 + 23.93ug/L) was greatlyhigher than that of BPH (7 .99 + 2.26ug/L) (P < 0.01 ).Tha sensitivity of PSA assay in the detection of PCa was 78. 9% (15/19). Itshowed that PSA assay was most significant in the differrential diagnosis of PCa. It should be noted that, because PSAassay was affected bysome factors, the PSAlevel of 38.6% of BPH(22/57) was overlapping with that of PCa, the analysis of detecd result umst be more considebole. Moreover, The PSA assay was valuable in the clinical bystages of PCa.

【关键词】 前列腺肿瘤抗原
【Key words】 Prostate cancer Carcinoma Antigen
  • 【文献出处】 贵州医药 ,GUIZHON MEDICAL JOURNAL , 编辑部邮箱 ,1998年01期
  • 【分类号】R737.25
  • 【下载频次】21
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