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Screening for prostate cancer in Romania.
Raphaela Waidelich1, Gheorghe Bumbu, Marius Raica
1Department of Urology, University of Munich, Klinikum Grosshadern, Germany. Raphaela.Waidelich@uro.med.uni-muenchen.de
International Urology and Nephrology
|October 28, 2003
Summary
This prostate cancer screening in Oradea, Romania, detected early-stage cancer in 1.6% of men. The study highlights the need for increased awareness and early detection efforts for prostate cancer in Romania.
Area of Science:
- Urology
- Oncology
- Public Health
Background:
- Over 95% of prostate cancer patients in Romania are diagnosed at advanced stages.
- Early detection is crucial for improving treatment outcomes and survival rates.
Purpose of the Study:
- To implement and evaluate an early prostate cancer screening program in Oradea, Romania.
- To assess the feasibility and effectiveness of digital rectal examination and fine needle aspiration biopsy for prostate cancer detection.
Main Methods:
- Conducted digital rectal examinations on 701 men aged 50-80.
- Performed transrectal fine-needle aspiration biopsies on 15 men with suspicious findings.
- Analyzed cytological results to confirm prostate cancer diagnoses.
Main Results:
- Prostate cancer was detected in 11 out of 697 screened men, a detection rate of 1.6%.
- Nine of the diagnosed cases were low- to intermediate-grade and clinically localized (T2).
- Two patients presented with higher stage (T3) tumors; one had pelvic lymph node metastases.
Conclusions:
- The screening study demonstrated public interest in early prostate cancer detection.
- Continued awareness campaigns are recommended to reduce the diagnosis of advanced prostate cancer in Romania.
- Early detection through screening can potentially lead to earlier treatment and improved patient prognosis.