FIELD: medicine.
SUBSTANCE: digital rectal examination is applied to localise a prostate induration (INp). If observing the prostate induration, the value equal to 1 is assigned to the value INp, while the absence of the induration shows the value equal to 0. The ultrasonic data are used to measure prostate volume (Vp), cm3. Patient's blood serum is examined for a level of total prostate-specific antigen (Ltpsa), ng/ml. Additionally, the primary histologic findings (PHF) of the prostate biopsy materials are studied. If observing high-grade prostatic intraepithelial neoplasia (PIN) as shown by the primary histologic findings of the prostate biopsy materials, the value equal to 1 is assigned to the PHF; while low-grade PIN or the absence thereof enables assigning the value equal to 0. The diagnostic coefficient (Cd) is calculated by formula: Cd=9.01-9.62 (INp)-0.015 (Vp)-0.27 (PHF)-9.51 [(Ltpsa):(Vp)]. The value Cd<0 enables diagnosing prostate cancer in the patients with the cancer-negative primary histologic findings.
EFFECT: use of the method enables high-reliability diagnosis of prostate cancer in the patients with the cancer-negative primary histologic findings.
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Authors
Dates
2012-10-20—Published
2011-07-20—Filed