Mladenov D, Tsvetkov M, Topov Ia, Kumanov Kh
Khirurgiia (Sofiia). 1991;44(5):21-3.
Prostate cancer is a rather common and severe disease in man. It affects the age beyond 50, a tendency being recently observed towards affecting subjects of younger age. In the early stage the symptoms are scarce and vague. The diagnostic possibilities of ultrasound examination, intravenous urography, computer axial tomography and biopsy specimen examination were compared in patients with prostate cancer. The authors consider the possibilities of transabdominal and transrectal echography for diagnosis of prostate cancer to be superior to those of intravenous urography. H. Watanabe even recommends and uses transrectal echography as screening method. The possibilities and results of transrectal echography and computer axial tomography for evaluating tumor growth and infiltration outside the prostate capsule are compared. Ultrasound examination is recommended as a more exact method, with a view to radical prostatectomy. The good correlation of the echographic patterns with tumor development are also recorded.
前列腺癌是男性中一种相当常见且严重的疾病。它影响50岁以上的人群,最近观察到有影响较年轻受试者的趋势。在早期,症状稀少且模糊。对前列腺癌患者的超声检查、静脉肾盂造影、计算机轴向断层扫描和活检标本检查的诊断可能性进行了比较。作者认为经腹和经直肠超声检查诊断前列腺癌的可能性优于静脉肾盂造影。H.渡边甚至推荐并使用经直肠超声检查作为筛查方法。比较了经直肠超声检查和计算机轴向断层扫描在评估前列腺包膜外肿瘤生长和浸润方面的可能性和结果。考虑到根治性前列腺切除术,推荐超声检查作为一种更精确的方法。还记录了超声图像模式与肿瘤发展的良好相关性。