老年人前列腺癌的早期诊断(附45例分析)

目的指出临床早期诊断对老年前列腺癌(PC)的病理分期及愈后有重要意义。方法分析了5年来我院收治的经病理确诊的45例老年前列腺癌的临床特点。结果较准确的早期诊断方法为直肠指检(DRE)、血清前列腺特异抗原(PSA)、经直肠前列腺B超(TRUS)、经直肠前列腺活检，阳性率分别为83%、82%、76%、73%。结论老年人应定期体检，前列腺癌的筛选应以PSA为基础，结合肛诊、TRUS及经直肠前列腺活检进行。

Early diagnosis ofprostate cancer in elderly:A report of 45 cases

Objective　To emphasize that early diagnosis of pr ostate cancer is very important for the patient′s pathogenesis and prognosis.[ WTHZ〗Methods　Clinical characteristics of forty-five histologicall y confirme d cases of prostate cancer being cared in our hospital in recent five years were analysed.Results　The exact methods of early diagnosis were dig i tal rectal examination(DRE),prostatic specific antigen (PSA),transrectal ultraso nography (TRUS) and transrectal prostate aspiration biopsy,and the positive rate was 83%,82%,76%,and 73% respectively.Conclusions　In elderly ma l e screening for PC should be based on PSA and combined with DRE ,TRUS and transrectal aspiration biopsy.