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[前列腺癌患者的超声诊断、活检及治疗随访]

[The diagnosis, biopsy and treatment follow-up by ultrasound in patients with prostatic carcinoma].

作者信息

Mladenov D, Tsvetkov M, Kumanov Kh

出版信息

Khirurgiia (Sofiia). 1994;47(5):15-7.

PMID:7474718
Abstract

Prostate carcinoma accounts for 1-5 per cent of all neoplasms affecting men, and represents 29.2 per cent of the tumors involving the urogenital system. It is a disease encountered in advanced age mainly--between 60 and 70 years, and recently even earlier. It is pointed out that transrectal ultrasound examination is usually used for diagnosing prostate carcinoma, determination of its stage, and follow-up study of the treatment effect. The clinical relevance of transrectal echography augments whenever performed in conjunction with biopsy of the prostate under ultrasound control, especially in the event of impalpable neoformation, or in uncertain negative, digitally oriented biopsies. The screening method proposed is capable to provide for a sufficiently accurate orientation towards the site for performing control biopsy of the prostate, but it could hardly serve as a reliable, independent criterion for estimating the effect of the nonoperative treatment in course.

摘要

前列腺癌占所有男性肿瘤的1%至5%,占泌尿生殖系统肿瘤的29.2%。这是一种主要在老年期出现的疾病——60至70岁之间,最近甚至更早。需要指出的是,经直肠超声检查通常用于诊断前列腺癌、确定其分期以及对治疗效果进行随访研究。经直肠超声检查在与超声引导下的前列腺活检联合进行时,其临床相关性会增强,特别是在触诊不到新生物或数字引导下活检结果不确定为阴性的情况下。所提出的筛查方法能够为前列腺控制活检的部位提供足够准确的定位,但它很难作为评估正在进行的非手术治疗效果的可靠、独立标准。

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