前列腺癌:在坦桑尼亚接受查的非洲男性中,前列腺特异抗原的负担和相关性
Bartholomeo Nicholaus Ngowi1,2,3, Alex Mremi1,4, Mshangama Juma Seif2
1Faculty of Medicine, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Research and reports in urology
|November 28, 2024
概括
血清前列腺特异性抗原 (PSA) 有效预测40岁以上坦桑尼亚男性的前列腺癌 (PCa). 较高的PSA水平与PCa和侵袭性疾病有很强的相关性,这表明它对查的临床有用性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 前列腺特异性抗原 (PSA) 是前列腺癌 (PCa) 查的关键生物标志物.
- 种族差异可能会影响PSA水平和PCa之间的相关性.
- 调查PSA在PCa诊断中的作用对于坦桑尼亚人来说至关重要.
研究的目的:
- 评估坦桑尼亚男性血清PSA水平和PCa诊断之间的相关性.
- 为了确定PSA对PCa和侵袭性疾病的预测值.
- 评估坦桑尼亚社区中PCa的负担.
主要方法:
- 在坦桑尼亚北部进行社区查 (2022年5月至9月).
- 包括40岁及以上的男性.
- 血清PSA测量,前列腺活检PSA>4 ng/mL,以及独立的病理评估.
- 使用STATA版本17.0.0进行统计分析.
主要成果:
- 6164名非洲男性参与;14.8%的PSA>4 ng/mL,30.8%被诊断为PCa.
- 在PSA水平和PCa/侵袭性疾病之间观察到强烈的正相关性.
- PSA 显示出 84% 的总体预测 PCa 的能力,最佳切线>10 ng/mL.
结论:
- 在研究社区中发现了中高等级PCa的显著流行率.
- 建议定期对PCa进行查和管理策略.
- PSA 是一个临床上有用的工具,用于预测40岁及以上的非洲男性的PCa.
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