Borre Michael
mail:
Ugeskr Laeger. 2018 Nov 12;180(46).
The primary objectives of population screening for prostate cancer (PCa) are a reduction in mortality due to PCa and a maintained quality of life. Currently, screening for PCa is one of the most controversial topics in the urological literature, and findings have led to strong advice against systematic population-based screening. PCa is usually suspected based on palpation and/or prostate specific antigen levels, and a definitive diagnosis depends on histopathological verification in biopsy cores. Multiparametric MRI is increasingly performed before prostate biopsy.
前列腺癌(PCa)人群筛查的主要目标是降低PCa导致的死亡率并维持生活质量。目前,PCa筛查是泌尿外科文献中最具争议的话题之一,相关研究结果强烈建议不要进行基于人群的系统性筛查。PCa通常基于触诊和/或前列腺特异性抗原水平被怀疑,而明确诊断取决于活检组织芯的组织病理学验证。在前列腺活检前越来越多地进行多参数MRI检查。