Prostate cancer detection in a clinical urological practice by ultrasonography, digital rectal examination and prostate specific antigen.

Cooner, W H; Mosley, B R; Rutherford, C L; Beard, J H; Pond, H S; Terry, W J; Igel, T C; Kidd, D D · J Urol · 1990

cross_sectional · Level IV

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Abstract

The prostate cancer detection rate from screening by digital rectal examination and tactilely guided prostate biopsy is approximately 1.7%. Among 1,807 men a detection rate of 14.6% was achieved in a clinical urological practice by physician-conducted prostate ultrasonography, digital rectal examination and determination of serum prostate specific antigen. Results are presented in 5-year increments as well as for the group as a whole. The possible benefit to be derived from an improved detection rate is undetermined. Recommendations are made regarding the clinical use of these diagnostic modalities.

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