前立腺吸引細胞診の有用性について

Abstract

1986年1月より2年間に86例の前立腺吸引細胞診を外来にて行い, これにより20例の前立腺癌患者に診断しえた.偽陽性率は10%, 偽陰性率は3%であった.本法は簡便で安全で, かつ診断能に優れた前立腺癌診断のためのスクリーニング検査として極めて有用である

Eighty-six cases of cytological diagnosis of the prostate by fine needle aspiration performed between January, 1986 and December, 1987 were reviewed. Twenty patients were diagnosed as positive cytology in prostate (malignant: class V, suspicious: class IV or atypical: class III) and were admitted and further evaluated with conventional needle biopsy followed by histological diagnosis. Then, 18 of them were diagnosed with prostatic carcinoma. False positive rate and false negative rate of this aspiration cytology were 10% and 3.0%, respectively. There was only one minor complication (fever onset) (1.2%) following this procedure. These results indicate that fine needle aspiration cytology of the prostate gland is an easily performed, diagnostically reliable outpatient procedure with minimal complications.