Illustration tables de Partin, nomogramme de Kattan et score de Capra

Prostate cancer prognosis: Partin tables, Kattan nomogram and Capra score

Definition nomograms The classification “TNM” allows to measure the characteristics of prostate cancer by combining the T indicators (degree of extension of the tumor), N (number and location of affected lymph nodes) and M (degree of spread of metastases) . More complex systems have been developed to assess the actual state of cancer to define

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GLEASON diagram illustrating 5 cellular differentiation grades of prostate cancer.

What is the GLEASON grade and score?

These well differentiated cancers grow and spread out more slowly than poor differentiated or totally undifferentiated cancer. Here is the original GLEASON diagram that illustrates the 5 grades of prostatic cancer, from grade 1 well differentiated, to undifferentiated grade 5. Prostate cancer is usually a polymorphic tumor in which we meet several clones of diverse

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Biopsy of the prostate with a pistol and guillotine needle

What is a prostate biopsy?

The operation today is carried out under local anaesthetic so it should be totally painless. It lasts about 15 minutes and no stay in hospital is necessary. The discomfort is usually moderate. Antibiotic treatment is given for five days after the biopsy to limit risks of infection.

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The PSA in the blood is partly free and partly bound to a protein.

What is a PSA blood test?

The highest rates of PSA are found in the seminal fluid; however a certain amount of PSA escapes the prostate ducts and joins the bloodstream, which allows for its dosage in the serum, which is at the heart of the development of the blood test. This serous dosage of PSA is used to assess the

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Examination of the prostate by rectal touch

What is digital rectal examination?

The major part of the prostate cannot be palpated by this digital rectal examination, but by examining its posterior face, the urologist can perceive abnormally firm zones or hardened nodules. This observation is abnormal because the prostate is usually smooth, elastic and of rounded consistency. However the palpation of an anomaly in the digital rectal

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Examination of the prostate by rectal touch

Identification and Diagnosis of Prostate Cancer

Rectal touch is the examination of the prostate carried out by the gloved finger of the doctor introduced into the rectum via the anus. The level of PSA is given by a blood test for detection of prostate cancer. However, the only way to confirm the presence of a prostate cancer is with a prostate

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Prostate cancer develops in the peripheral part of the gland

Risks and warning signs of prostate cancer

The lifestyle and the food habits could also play a role. Are there any warning signs? Regrettably, there are no early warning signs of prostate cancer. This tumor develops usually very slowly, and because of its anatomical situation, usually in the periphery of the gland thus far from the urinary channel, many men do not

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Developmental stages of prostate cancer

Prostate Cancer : the work-up

Prostate Biopsies When prostate biopsies have discovered prostate cancer, the diagnosis is formally stated. It is therefore not necessary to redo biopsies to confirm diagnosis. Vital/valuable information is gathered from the knowledge of the number of positive biopsies in relation to the total number of biopsies carried out, often 12, and the length where the

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