Complexed prostate-specific antigen for the detection of prostate cancer.

Abstract:

BACKGROUND:The description of a new method for the measurement of complexed prostate-specific antigen (cPSA) offers a new approach to the diagnosis of prostate cancer. PATIENTS AND METHODS:We measured PSA (Hybritech and Bayer), free PSA (Hybritech) and complexed PSA (Bayer) in 72 patients with prostate cancer and 128 with benign prostate hyperplasia. RESULTS AND CONCLUSION:We found an increase of sensitivity using 25 and 7 ng/mL as cut-offs for cPSA in relation to total PSA using as cut-offs 4 and 10 ng/mL (96 and 36% vs. 92 and 35.5%). Similar differences were found for specificity (78% and 31% for cPSA vs. 73% and 29% for total PSA). Therefore, we defined a gray zone for patients with cPSA between 2.5 and 7 ng/mL for which the measurement of the free/complexed PSA ratio saves an important number of negative biopsies maintaining a higher sensitivity.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Filella X,Truan D,Alcover J,Gutierrez R,Molina R,Coca F,Ballesta AM

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

4181-5

issue

6

eissn

0250-7005

issn

1791-7530

journal_volume

24

pub_type

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