Urol. praxi. 2021;22(2):88-91 | DOI: 10.36290/uro.2021.007

Diagnostic algorithms in prostate cancer - 1st part

MUDr. Otakar Čapoun, Ph.D., FEBU
Urologická klinika VFN a 1. LF UK v Praze

In the first part of the article we assess diagnostic procedures in case of suspicion on prostate cancer (PC). We will mention the basic aspects of medical history and physical examination. We will evaluate the role of prostate specific antigen and its derivatives as well as the prostate health index. Multiparametric magnetic resonance imaging of the prostate with a fusion prostate biopsy is currently the main course in the diagnosis of PC. Separate evaluation of prostate biopsy specimens may direct the indication for active surveillance of patients with low-risk PC.

Keywords: prostate cancer, prostate specific antigen, prostate health index, magnetic resonance imaging of the prostate.

Received: February 4, 2021; Revised: February 4, 2021; Accepted: February 4, 2021; Prepublished online: February 4, 2021; Published: June 2, 2021  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Čapoun O. Diagnostic algorithms in prostate cancer - 1st part. Urol. praxi. 2021;22(2):88-91. doi: 10.36290/uro.2021.007.
Download citation

References

  1. https://uroweb.org/guideline/prostate-cancer/. Přístup 12. 12. 2020.
  2. Draisma G, Boer R, Otto SJ, et al. Lead times and overdetection due to prostate-specific antigen screening: estimates from the European Randomized Study of Screening for Prostate Cancer. J Natl Cancer Inst 2003; 95(12): 868-78. doi: 10.1093/jnci/95.12.868. PMID: 12813170. Go to original source... Go to PubMed...
  3. Oesterling JE, Jacobsen SJ, Chute CG, Guess HA, Girman CJ, Panser LA, Lieber MM. Serum prostate-specific antigen in a community-based population of healthy men. Establishment of age-specific reference ranges. JAMA 1993; 270(7): 860-864. PMID: 7688054. Go to original source... Go to PubMed...
  4. Catalona WJ, Partin AW, Sanda MG, et al. A multicenter study of [-2]pro-prostate specific antigen combined with prostate specific antigen and free prostate specific antigen for prostate cancer detection in the 2.0 to 10.0 ng/ml prostate specific antigen range. J Urol. 2011; 185(5): 1650-1655. Go to original source... Go to PubMed...
  5. Stejskal J, Adamcová V, Záleský M, et al. The predictive value of the prostate health index vs. multiparametric magnetic resonance imaging for prostate cancer diagnosis in prostate biopsy. World J Urol. 2020 Aug 6. doi: 10.1007/s00345-020-03397-4. Epub ahead of print. PMID: 32761380. Go to original source... Go to PubMed...
  6. https://www.acr.org/-/media/ACR/Files/RADS/Pi-RADS/PIRADS-V2-1.pdf?la=en. Přístup 12. 12. 2020.
  7. Drost FH, Osses DF, Nieboer D, et al. Prostate MRI, with or without MRI-targeted biopsy, and systematic biopsy for detecting prostate cancer. Cochrane Database Syst Rev 2019; 4(4): CD012663. doi: 10.1002/14651858.CD012663.pub2. PMID: 31022301; PMCID: PMC6483565. Go to original source... Go to PubMed...
  8. Epstein JI, Egevad L, Amin MB, et al; Grading Committee. The 2014 International Society of Urological Pathology (ISUP) Consensus Conference on Gleason Grading of Prostatic Carcinoma: Definition of Grading Patterns and Proposal for a New Grading System. Am J Surg Pathol. 2016; 40(2): 244-252. Go to original source... Go to PubMed...




Urology for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.