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231222s2003 xx ||||| 00| ||eng c |
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|a (NLM)12968483
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|a DE-627
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|e rakwb
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|a eng
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1 |
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|a Segawa, Naoki
|e verfasserin
|4 aut
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|a Prostate cancer detection by prostate-specific antigen-related parameters
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|c 2003
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|a Text
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|a Date Completed 25.09.2003
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|a Date Revised 17.11.2004
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|a published: Print
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|a Citation Status MEDLINE
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|a Total serum prostate-specific antigen (PSA) levels, free-to-total PSA ratio (F/T ratio) and PSA density (PSAD) were compared to clarify the clinical significance of these parameters in the diagnosis of prostate cancer (CaP) with intermediate PSA concentrations (4-10 ng/ml). PSAD and F/T ratio were obtained during the period from May 1999 to April 2001 from 43 patients with serum PSA concentrations of 4-10 ng/ml who underwent ultrasound-guided systematic sextant biopsies. PSAD was compared with total serum PSA and F/T ratio via receiver operating characteristic (ROC) curves for diagnosis of CaP. Diagnosis of CaP and non-CaP was made in 12 (27.9%) and 31 (72.1%) of the 43 patients, respectively. Mean serum PSA, PSA density and F/T ratio were 7.308 +/- 0.636 ng/ml, 0.271 +/- 0.039 ng/ml/cm3 and 16.225 +/- 4.911% in patients with CaP and 6.300 +/- 0.289 ng/ml, 0.178 +/- 0.020 ng/ml/cm3 and 15.213 +/- 0.980% in those with non-CaP, respectively. The ROC curve analysis demonstrated that PSAD predicted the biopsy outcome significantly better than F/T ratio and total PSA in all 43 patients (p < 0.05). In distinguishing CaP patients, the cutoff value of 0.16 ng/ml/cm3 for PSAD yielded a specificity level of 71.0% at a sensitivity level of 83.3%. Our study revealed that PSAD is a significant predictor in distinguishing CaP from non-CaP in Japanese men
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|a Journal Article
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|a Prostate-Specific Antigen
|2 NLM
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|a EC 3.4.21.77
|2 NLM
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|a Gohji, Kazuo
|e verfasserin
|4 aut
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1 |
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|a Iwamoto, Yusaku
|e verfasserin
|4 aut
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1 |
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|a Ueda, Haruhiko
|e verfasserin
|4 aut
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1 |
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|a Katsuoka, Yoji
|e verfasserin
|4 aut
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|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 49(2003), 7 vom: 11. Juli, Seite 405-10
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|x 0018-1994
|7 nnns
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|g volume:49
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|g pages:405-10
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