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자료유형
학술저널
저자정보
김정현 (울산대학교) 김영민 (울산대학교) 박노정 (울산대학교)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.45 No.7
발행연도
2004.1
수록면
658 - 662 (5page)

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Purpose: The relationship between morphological parameters of inflammation in prostatic tissue and the levels of serum prostate specific antigen(PSA) and prostate specific antigen density(PSAD) were investigated. Materials and Methods: 95 prostate biopsies performed on 95 men with elevated serum PSA and/or abnormal digital rectal examinations of the prostate were reviewed. Of these, 42 malignant biopsies and 2 cases of clinical prostatitis were excluded. In the remaining 51 prostate biopsies, the extent of inflammation, aggressiveness of inflammation and presence of polymorphonuclear leukocytic infiltration were scored at both the acini and ducts. Results: The mean serum PSA levels in grades 0, 1 and 2 for the extent of inflammation were 11.4, 8.5 and 9.3, respectively. The mean PSAD levels in these groups were 0.27, 0.17 and 0.17, respectively. The mean serum PSA levels in grades 0, 1 and 2 for the aggressiveness of inflammation were 9.2, 9.5 and 3.8, respectively. The mean PSAD levels in these groups were 0.19, 0.18 and 0.09, respectively. The mean serum PSA levels in the absence and presence of polymorphonuclear leukocytic infiltration were 8.8 and 9.13, respectively. The mean PSAD levels in these groups were 0.18 and 0.15, respectively. The mean serum PSA and PSAD levels were not significantly increased with the proportional increases in the morphological parameters of inflammation. Conclusions: The serum PSA and PSAD levels were found not to be significantly increased with proportional increases in the morphological parameters of inflammation in asymptomatic histological prostatitis. It is propose that asymptomatic inflammation in prostate tissue is not the reason for delayed repeat prostate biopsies. (Korean J Urol 2004;45:658-662)

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