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由于前列腺特异性抗原(PSA)在前列腺良恶性疾病诊断鉴别中存在一定误差率,故改用前列腺特异性抗原密度(PSAD)对38例前列腺病患者进行研究,其中前列腺癌11例,前列腺增生27例。运用核磁共振(MRI)测量前列腺长、宽、高,借助公式:体积=长×宽×高×0.5计算出前列腺体积,则PSAD=PSA/V。研究结果表明:前列腺肥大PSAD平均值为0.055,前列腺癌PSAD平均值为1.144,前列腺增生组中PSAD最大值未超过0.23,即使超过0.15的仅2例。在总共12例PSAD大于0.15的患者中,前列腺癌占了10例,而前列腺肥大仅2例。而PSAD小于0.1的范围中前列腺增生有22例,而前列腺癌却无一例,由此可见PSAD可作为前列腺良恶性疾病鉴别诊断的有效指标之一。
Prostate-specific antigen (PSA) in the diagnosis of benign and malignant diseases there is a certain error rate, so the use of prostate-specific antigen density (PSAD) 38 cases of prostate disease in patients with prostate cancer in 11 cases, benign prostatic hyperplasia 27 example. Prostate length, width, and height were measured by nuclear magnetic resonance (MRI). Prostate volume was calculated using the formula: volume = length × width × height × 0.5, and PSAD = PSA / V. The results showed that the average value of PSAD in prostatic hypertrophy was 0.055, the average value of PSAD in prostate cancer was 1.144, and the maximum value of PSAD in prostatic hyperplasia group did not exceed 0.23, even though only 2 cases exceeded 0.15. Of a total of 12 patients with PSAD greater than 0.15, prostate cancer accounted for 10 and prostatic hypertrophy was only 2. PSAD is less than 0.1 in the range of 22 cases of benign prostatic hyperplasia, while there is no case of prostate cancer, which shows that PSAD can be used as a differential diagnosis of benign and malignant prostatic diseases, one of the effective indicators.