da Silva C
Serviço de Urologia, Hospitais Civis de Lisboa.
Acta Med Port. 1999 Jan-Mar;12(1-3):87-90.
Mandatory examination: physical exam including, digital rectal examination; renal and bladder ultrasound and/or IVP, cystoscopy with full description of the lesion and with a diagram, urinalysis, urinary cytology; TUR with biopsy of the tumor base, biopsy of all suspicious areas; randomised biopsies in presence of positive cytology, tumor > 3 cm or non papillary tumour; biopsy of the prostatic urethra in cis or when there is suspicion of cis. When the tumor is invasive, it is mandatory to perform chest X-ray, IVP, and or abdominal and pelvic CT scan, liver ultrasound and bone scan, if there are symptoms or a high alkaline phosphatase.
体格检查，包括直肠指检；肾脏和膀胱超声及/或静脉肾盂造影、膀胱镜检查，并对病变进行完整描述及绘图、尿液分析、尿细胞学检查；经尿道前列腺切除术并对肿瘤基底进行活检、对所有可疑区域进行活检；在细胞学检查阳性、肿瘤直径大于3厘米或非乳头状肿瘤的情况下进行随机活检；在原位癌或怀疑有原位癌时对前列腺尿道进行活检。当肿瘤为浸润性时，如果有症状或碱性磷酸酶升高，则必须进行胸部X线检查、静脉肾盂造影及/或腹部和盆腔CT扫描、肝脏超声检查和骨扫描。
