Clinical correlation, ecographic and levels of prostate specific antigen in patients with prostate cancer

This report provides information about clinical correlation, ecographic and levels of prostate specific antigen in patients with prostate cancer in the Regional Hospital from Trujillo, Peru.

Retrospective, descriptive observation study of all the clinical histories from patients with histopathology diagnosis of prostate cancer during the period of January 2000 - December 2004. The sample was constituted by 60 patients with clinics histories, study by image based on the prostate ecography and the prostate specific antigen results. The average of age found was of 75.4 years old; the most frequent clinical case reported a 91.6% of patients with obstructive and irritative symptoms. In the levels of prostate antigen the PSA found values between 10-50 ng/ml, in 48.78% of the patients. In the ecography prostate study there where evidence of hypoecogenic images in 56%, hyperecogenics images 12%, heterogenics images 20% and 12% homogenics images. In the TNM classification the higher percentage is located in T stage with an 81.67%, and in smaller proportions in the N1 and M1 stages with 8.33% and 10.0% respectively. According to Gleason it was found levels from 2-4 with 36.67%, in the level 5-7 with 23.33% and in the level 8-10 with 40.0%.

All the patients with prostate cancer showed a clinical symptoms about, obstructive and irritative and in other organs a less percentage of symptoms that shows metastases; in more than a half of the patients, the digital rectal examination showed nodules and irregularities in its surface; in the prostate ecography it is report a higher percentage of hypoecogenics images suggestive of neoplasia. The levels of specific prostate antigen in more than 70% of the patients where over of 10 ng/ml; in the totally of the patients the histological type most frequent is the Adenocarcinoma, with a high grade of percentage of patients who had been bad prognosticated according to the Gleason score. According the NTM, more of the two thirds parts of patients with prostate cancer are in T stage, with a high percentage extending on the prostatic capsule.