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Updated: Aug 10, 2026

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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Laboratory assessment of prostate status
1Department of Urology, Nagasaki University School of Medicine, Japan.
Clinics in Laboratory Medicine
|March 1, 1993
Summary
Combining prostate-specific antigen (PSA) and prostate-alkaline phosphatase (PAP) measurements improves cancer detection sensitivity. This dual marker approach offers better objective monitoring for patients diagnosed with prostate cancer.
Area of Science:
- Oncology
- Biochemistry
- Medical Diagnostics
Background:
- Prostate cancer diagnosis and monitoring rely on specific biomarkers.
- Current single-marker approaches may have limitations in sensitivity and patient stratification.
Purpose of the Study:
- To evaluate the diagnostic and monitoring advantages of a combined Prostate-Specific Antigen (PSA) and Prostate-Alkaline Phosphatase (PAP) assay.
- To assess the enhanced sensitivity and objective follow-up parameters offered by dual biomarker testing.
Main Methods:
- Comparative analysis of PSA and PAP levels in patient cohorts.
- Assessment of detection sensitivity using combined versus individual marker assays.
- Evaluation of objective parameters for patient monitoring.
Main Results:
- Combined PSA and PAP measurement demonstrated increased sensitivity for prostate cancer detection.
- The dual marker strategy provided a greater number of patients with objective parameters for effective follow-up.
Conclusions:
- Combining PSA and PAP measurements offers a significant advantage in diagnostic sensitivity.
- Dual biomarker monitoring enhances objective follow-up for patients with prostate carcinoma, improving clinical management.
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