Seikkula Heikki, Pettersson Kim, Boström Peter J
Duodecim. 2015;131(17):1547-52.
Gleason grading of tumor biopses is the only method to distinguish clinically significant prostate cancer. Local cancer is usually symptomless, and men would benefit from functional screening. The aim of improving blood test diagnostics is to find those for whom it is profitable on the basis of blood test to proceed to biopsies. Overdiagnosis would be simultaneously avoided. In blood test diagnostics, established use is made only of the levels of prostate-specific antigen (PSA) and free PSA. New methods for blood test diagnosis are "Prostate Health Index" and the four-kallikrein panel.
肿瘤活检的 Gleason 分级是区分具有临床意义的前列腺癌的唯一方法。局部癌症通常无症状,男性将从功能筛查中受益。改进血液检测诊断的目的是找到那些基于血液检测进行活检有利可图的人。同时可以避免过度诊断。在血液检测诊断中,目前仅使用前列腺特异性抗原(PSA)和游离 PSA 的水平。血液检测诊断的新方法是“前列腺健康指数”和四激肽释放酶检测组合。