Mladenov D, Tsvetkov M, Kumanov Kh
Khirurgiia (Sofiia). 1991;44(5):18-20.
According to data available in the literature prostate cancer accounts for 0.2 to 0.4 percent of all cancer diseases, 1 to 5 per cent of all tumors in males and 29.2 per cent of the tumors affecting the urogenital system. The consensus today is that prostate cancer is the most common tumor of the urogenital system. It is a disease of the advanced age, being most common in the age group 60 to 70. It is pointed out that transrectal echography has gained acceptance basically for the diagnosis of prostate cancer, for determining its stage and for check-up of the effect of treatment. According to M. Devonec et al., J. Pointes et al, the specificity of this method is 79 per cent and its sensitivity 48 per cent. The echographic diagnostic criteria for prostate cancer are described. The value of transrectal echography increases when performed with biopsy specimen examination under ultrasound control, especially in nonpalpable neoplasms or when digitally directed biopsy specimens have yielded doubtful or negative result. The method is noninvasive, practicable and well tolerated; this makes it particularly valuable for control of the effect of treatment.
根据文献中的现有数据,前列腺癌占所有癌症疾病的0.2%至0.4%,占男性所有肿瘤的1%至5%,占影响泌尿生殖系统肿瘤的29.2%。目前的共识是,前列腺癌是泌尿生殖系统最常见的肿瘤。它是一种老年疾病,在60至70岁年龄组中最为常见。有人指出,经直肠超声检查已基本上被用于前列腺癌的诊断、确定其分期以及检查治疗效果。根据M. 德沃内克等人、J. 波因特斯等人的研究,该方法的特异性为79%,敏感性为48%。文中描述了前列腺癌的超声诊断标准。在超声引导下进行活检标本检查时,经直肠超声检查的价值会增加,尤其是在不可触及的肿瘤中,或者当数字引导活检标本得出可疑或阴性结果时。该方法是非侵入性的、可行的且耐受性良好;这使其在控制治疗效果方面特别有价值。