A prospective study to detect silent or latent malignancy of prostate and its relation to age and digital rectal examination
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 4
Abstract
Background: With advancing age, the prostate gland enlarges. A proper pre-operative assessment of size of prostate clinically and by sonography is recommended. Aims and Objectives: To study biopsy report and compare it with age and digital rectal examination. Materials and methods: A total hundred prostatism cases were studied at the Department of School of Medical Sciences & Research, Sharda University Greater Noida, from January 2016 to January 2018. Detailed history was obtained from each patients followed by digital rectal examination (DRE). Biopsy results were compared with age of the cases and DRE. Results: No significant association was obtained between age and biopsy report in cases of prostatism (p>0.05). However, BPH was more common among the age group of 61-70 years with average age of 67.24 years. Ca prostate was common (60%) in the age group of 71-80 years with average age of 71.50 years. Most common symptom among cases was frequency (84%) followed by nocturia (80%), urgency (74%) and terminal dribbling (74%). Comparing DRE with biopsy report found that 50% of the BPH (out of 18 cases) had suspicion for ca prostate (p<0.01). Conclusion: No significant association was found between age and biopsy report in cases of prostatism. DRE has little role in the screening for prostate cancer but it should not be omitted from the physical examination of patients, as 50% prostate cancer can be diagnosed by DRE.
Authors and Affiliations
Dr. Ankit Sahu, Dr. Shraddha Sahu
Keywords
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