Differences in Prostate Cancer between Korean Patients, the European Randomized Study of Screening for Prostate Cancer/Rotterdam Group, and a Dutch Clinical Cohort
Korean Journal of Urological Oncology
; : 18-26, 2016.
Article
em En
| WPRIM
| ID: wpr-16392
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
We evaluated differences in biopsy-detected prostate cancer (PC) between a newly defined Korean clinical cohort (KCC) and two Western populations. MATERIALS ANDMETHODS:
The records of 723 Korean men aged 55 to 75 years who underwent an initial transrectal ultrasound-guided biopsy from 2004 to 2010 were retrospectively reviewed. Prostate biopsies were performed due to prostate-specific antigen (PSA) levels greater than 4.0ng/ml, or suspicious findings on rectal examination or transrectal ultrasonography. Characteristics of PC were compared between the KCC and Western groups (the Rotterdam group of the European Randomized Study of Screening for Prostate Cancer ERSPC and Dutch Clinical Cohort DCC).RESULTS:
The cancer detection rate was 26.4% (191/723) in the KCC, 20.9% (473/2268) in the ERSPC/Rotterdam group and 43.1% (138/320) in the DCC. The median PSA in patients with PC was 11.8ng/ml, 5.7ng/ml and 7.5ng/ml in the KCC, ERSPC/Rotterdam group, and DCC, respectively. The proportion of patients with a Gleason score of 7 or more was 57.1% (109/191) in the KCC, 37.5% (174/464) in the ERSPC/Rotterdam group and 37.0% (51/138) in the DCC.CONCLUSIONS:
We found large differences in cancer detection rate, PSA, and Gleason score distribution between the KCC and Western cohorts. PC detected in Korean patients had more advanced clinical factors than in Western populations due to low availability of PSA screening programs.Palavras-chave
Texto completo:
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Base de dados:
WPRIM
Assunto principal:
Próstata
/
Neoplasias da Próstata
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Biópsia
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Programas de Rastreamento
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Estudos Retrospectivos
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Estudos de Coortes
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Ultrassonografia
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Antígeno Prostático Específico
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Povo Asiático
/
Gradação de Tumores
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
/
Incidence_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
Limite:
Humans
/
Male
Idioma:
En
Revista:
Korean Journal of Urological Oncology
Ano de publicação:
2016
Tipo de documento:
Article