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25例已确诊为前列腺癌患者,年龄55—74岁。平均69岁,用传统方法进行临床分期,包括体查,肛门指诊,酸性磷酸酶,硷性磷酸酶,特异性前列腺抗原,胸片,静脉肾盂造影,骨扫描。并用超声仪用标准方法经直肠作前列腺超声检查分期。所有患者都行盆腔淋巴结清扫及耻骨后根治性前列腺切除。外科手术标本送病理科作病理学分期。结果,临床分期主要依靠肛门指诊,其它检查均正常。比较临床分期、经直肠超声波分期及手术后外科病理学分期,其中9例患者三者完全一致(36%),10例经直肠超声波分期正确,高于临床分期
Twenty-five patients had been diagnosed with prostate cancer and were 55-74 years old. On average, 69 years old, clinical staging with traditional methods, including physical examination, anal examination, acid phosphatase, alkaline phosphatase, specific prostate antigen, chest X-ray, intravenous pyelography, bone scan. Ultrasound with standard methods by transrectal prostate ultrasound examination staging. All patients underwent pelvic lymph node dissection and retropubic radical prostatectomy. Surgical specimens were sent to pathology for pathological staging. As a result, clinical staging mainly relied on the anal examination, and all other tests were normal. Comparing clinical staging, transrectal ultrasound staging, and postoperative surgical staging, 9 of them were identical (36%), and 10 were correct by transrectal ultrasound and higher than clinical staging.