前列腺癌的诊断(附56例报告)  

Diagnosis of prostatic cancer:report of 56 cases

作　　者：张继伟[1] 白焱[1] 王建军[1] 刘润生[1] 

机构地区：[1]铁道部北京铁路总医院,100038

出　　处：《中国肿瘤临床与康复》2001年第6期84-85,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的　为提高前列腺癌的早期诊断水平。方法　通过对 1983年 1月～ 2 0 0 0年 12月收治的 5 6例前列腺癌的临床症状、直肠指检、B超、CT、MRI及PSA检查进行分析和探讨。结果　临床症状中排尿不畅 47例 ( 83.9% ) ,血尿 9例 ( 16 .1% ) ,尿潴留 6例 ( 10 .7% ) ,腰骶部疼痛 6例 ,体检PSA升高 6例 ,明显消瘦 4例 ( 7.1% ) ,贫血 4例 ,腹部包块 1例 ( 1.8% ) ;直肠指检 5 6例 ,阳性率 91.1% ;B超检查 45例 ,异常回声改变 33例 ( 73.3% ) ;CT检查 10例 ,阳性率70 % ;MRI检查 2 5例 ,阳性率 76 % ;PSA检查 36例 ,30例高于正常值 ( 83.3% )。结论　直肠指检、影象学检查、PSA测定及穿刺活检是诊断前列腺癌的重要依据。Objective To diagnose the prostatic cancer in early stage.Methods The clinical characteristics, digital rectal examination(DRE), ultrasound, CT, MRI and PSA of 56 cases of prostatic cancer during Jan. 1983 to Dec. 2000 were analyzed and discussed.Results Of all the clinical manifestations, dysuria occurred in 47(83.9%), hematuria occurred in 9(16.1%), retention of urine in 6(10.7%),lumbosacral pain in 6, an elevated PSA level in physical examination in 6, obvious thin in 4(7.1%), anaemia in 4, abdominal mass in 1 (1.8%). Ultrasound showed that in 45 the abnormal echo were 33(73.3%).DRE,CT and MRI were separately conducted in 56,10 and 25 cases and found that the positive rates were 91.1%,70% and 76% respectively.In 30 out of 36 cases PSA was higher than that of the normal range(83.3%). Conclusion DRE together with the imaging and PSA testing and needle biopsy of the prostate play important role in the early diagnosis of prostate cancer.

关 键 词：诊断 前列腺癌 CT 

分 类 号：R737.25[医药卫生—肿瘤]