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Prostate Cancer: Comparison of Digital Rectal Examination and Transrectal Ultrasound for Screening

1991; Lippincott Williams & Wilkins; Volume: 145; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(17)38254-x

1527-3792

Morton Palken, Oliver E. Cobb, Carol Simons, Bill H. Warren, Hector C. Aldape,

Cervical Cancer and HPV Research

No AccessJournal of Urology1 Jan 1991Prostate Cancer: Comparison of Digital Rectal Examination and Transrectal Ultrasound for Screening Morton Palken, Oliver E. Cobb, C. Edward Simons, Bill H. Warren, and Hector C. Aldape Morton PalkenMorton Palken , Oliver E. CobbOliver E. Cobb , C. Edward SimonsC. Edward Simons , Bill H. WarrenBill H. Warren , and Hector C. AldapeHector C. Aldape View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38254-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A prostate cancer screening study of 315 asymptomatic men comparing digital rectal examination and transrectal ultrasound identified 23 cancers, for a detection rate of 7.3%. Of the cancers 17 (5.4%) were diagnosed by digital rectal examination. Contrary to the experience of others, this was a higher rate than achieved by transrectal ultrasound (14 cases or 4.4%). Systematic multiple needle biopsies of both lobes with ultrasound guidance were routinely performed. As a result of this technique 7 of 23 cancers (30%) were fortuitously diagnosed. In addition, only unilateral disease was suspected in 4 of 7 patients with bilateral disease on biopsy. Digital rectal examination and transrectal ultrasound identified the same number of patients with small (less than 1.5cm.) cancers, contrary to other reports that found transrectal ultrasound to be superior. Digital rectal examination is considered an effective screening examination, equivalent to transrectal ultrasound and preferable because of lower cost. An algorithm for screening is outlined with digital rectal examination and prostate specific antigen determinations. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byOsegbe D (2018) Prostate Cancer in Nigerians: Facts and NonfactsJournal of Urology, VOL. 157, NO. 4, (1340-1343), Online publication date: 1-Apr-1997.Feightner J (2018) The Early Detection and Treatment of Prostate Cancer: The Perspective of the Canadian Task Force on The Periodic Health ExaminationJournal of Urology, VOL. 152, NO. 5 Part 2, (1682-1684), Online publication date: 1-Nov-1994.Simak R, Madersbacher S, Zhang Z and Maier U (2018) The Impact of Ejaculation on Serum Prostate Specific AntigenJournal of Urology, VOL. 150, NO. 3, (895-897), Online publication date: 1-Sep-1993. Volume 145Issue 1January 1991Page: 86-90 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordsultrasonic diagnosisprostatic neoplasmsdiagnosisMetricsAuthor Information Morton Palken More articles by this author Oliver E. Cobb More articles by this author C. Edward Simons More articles by this author Bill H. Warren More articles by this author Hector C. Aldape More articles by this author Expand All Advertisement PDF downloadLoading ...