ROLE OF PSA IN PROSTATIC DISEASES
Journal Title: International Journal Of Advances In Surgery - Year 2017, Vol 1, Issue 2
Abstract
Introduction : Prostatic specific antigen (PSA) has achieved a wide spread clinical use as a tumour marker in the field of prostatic pathology. In the present study PSA was determined in patients of benign prostate hypertrophy (BPH) and Carcinoma Prostate (Ca-P) to evaluate its diagnostic efficiency in day to day management of prostate cancer patients. Maerial and methods : This observational study was carried out in RIMS, Ranchi, Department of General surgery over a period of 1 year. 40 patients admitted through outdoor, emergency presenting with features of Lower Urinary Tract Symptoms (LUTS) were included in the study. Result : 90.9% of the patients with PSA value >10ng/ml have Ca-P with specificity and positive predictive value of PSA at >10ng/ml being 83.3% and 86.9% respectively. Conclusion : Though PSA is not a specific investigation for diagnosis of Ca-P but higher values of PSA is more likely due Ca-P. Positive test does not mean to have prostate cancer nor does a negative test always confirms the absence of cancer.
Authors and Affiliations
Dr. Zenith Harsh Kerketta, Dr. Jitendra Kumar Chaudhary, Dr. Binit Bharati
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