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Sökning: WFRF:(Erbersdobler A) > Total and Gleason g...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004415naa a2200445 4500
001oai:lup.lub.lu.se:7dcd4ee5-5ae9-44c9-bd61-b4ff17c93b3d
003SwePub
008160401s2003 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/2959802 URI
024a https://doi.org/10.1097/01.ju.0000095794.04551.0c2 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Haese, A4 aut
2451 0a Total and Gleason grade 4/5 cancer volumes are major contributors of human kallikrein 2, whereas free prostate specific antigen is largely contributed by benign gland volume in serum from patients with prostate cancer or benign prostatic biopsies
264 1b Ovid Technologies (Wolters Kluwer Health),c 2003
520 a Purpose: We measured concentrations of human glandular kallikrein 2 (hK2), total prostate specific antigen (tPSA), free PSA (fPSA) and percent fPSA to evaluate their relationship to total prostate gland volume, benign prostatic hyperplasia (BPH) volume, total prostate cancer (PCa) volume (CaVol) and the volume of Gleason grades 4/5 cancer (CaVolG14) in the serum of 256 patients with PCa undergoing radical retropubic prostatectomy and 185 with negative systematic sextant biopsies. Materials and Methods: Free and total PSA was measured using the Delfia Prostatus (Perkin-Elmer, Turku, Finland) total/free PSA assay and hK2 was measured using a research immunofluorometric assay. Transrectal ultrasound was used to determine total prostate and BPH volume. Total CaVol and CaVolG14/5 were calculated using a volumetric program in specimens from 158 men with pT2a/b and 98 with pT3a or greater PCa. The Pearson correlation was performed after logarithmic conversion of PSA and hK2 levels. Benign gland, and pT2a/b and pT3a or greater PCa cases were subdivided into small vs large prostate gland volumes (42 cc or less vs greater than 42 cc). Results: Total prostate and BPH volumes correlated closely with free PSA (r=0.64 to 0.65, p<0.0001) in 143 patients with negative biopsy and a prostate of greater than 42 cc. Correlations of hK2 and tPSA with total prostate and BPH volumes were weaker (r=0.35 to 0.36 and 0.45 to 0.46, respectively). In pT2a/b and pT3a or greater PCa cases hK2 most closely correlated with CaVol (range 0.31 to 0.62, p=0.0072 and <0.0001) and with CaVolG14/5 (range 0.26 to 0.56, p=0.021 and <0.0001, respectively). The tPSA level correlated significantly with CaVol and CaVolG14/5 except in glands 42 cc or greater harboring pT2a/b PCa (p=0.08). Free PSA correlated significantly with CaVolG14/5 only in pT3a or greater PCa (p<0.05), and with CaVol in pT3a or greater PCa and in small prostates harboring pT2a/b PCa. Conclusions: Large benign prostate gland volume affects fPSA more than tPSA in serum. In PCa hK2 more closely correlates with total cancer volume and high grade PCa volume compared with tPSA or fPSA.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Urologi och njurmedicin0 (SwePub)302142 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Urology and Nephrology0 (SwePub)302142 hsv//eng
653 a kallikreins
653 a tissue
653 a prostatic neoplasms
653 a prostate
653 a prostate-specific antigen
653 a prostatic hyperplasia
700a Graefen, M4 aut
700a Steuber, T4 aut
700a Becker, Charlotteu Lund University,Lunds universitet,Klinisk kemi, Malmö,Forskargrupper vid Lunds universitet,Clinical Chemistry, Malmö,Lund University Research Groups4 aut0 (Swepub:lu)klke-cbe
700a Noldus, J4 aut
700a Erbersdobler, A4 aut
700a Huland, E4 aut
700a Huland, H4 aut
700a Lilja, Hansu Lund University,Lunds universitet,Klinisk kemi, Malmö,Forskargrupper vid Lunds universitet,Clinical Chemistry, Malmö,Lund University Research Groups4 aut0 (Swepub:lu)klke-hli
710a Klinisk kemi, Malmöb Forskargrupper vid Lunds universitet4 org
773t Journal of Urologyd : Ovid Technologies (Wolters Kluwer Health)g 170:6, s. 2269-2273q 170:6<2269-2273x 1527-3792x 0022-5347
856u http://dx.doi.org/10.1097/01.ju.0000095794.04551.0cy FULLTEXT
8564 8u https://lup.lub.lu.se/record/295980
8564 8u https://doi.org/10.1097/01.ju.0000095794.04551.0c

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