A COMPREHENSIVE STUDY OF PROSTATIC LESIONS AND ITS PROSTATE-SPECIFIC ANTIGEN LEVELS IN ANATOMICAL PATHOLOGY INSTALLATION OF RSUD DR. SOETOMO, SURABAYA FROM YEAR 2014 TO 2016
Background: Diseases primarily affects prostate gland are inflammation, hyperplasia, and malignant tumour. Gleason score (GS) is an essential facet and together with PSA are substantial in diagnosing, managing, and determining the prognosis of CaP. Purpose: The aims of this study is to investigat...
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| Format: | Theses and Dissertations NonPeerReviewed |
| Language: | English English |
| Published: |
2018
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| Subjects: | |
| Online Access: | http://repository.unair.ac.id/70806/1/abstrak.pdf http://repository.unair.ac.id/70806/2/full%20text.pdf http://repository.unair.ac.id/70806/ |
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| Institution: | Universitas Airlangga |
| Language: | English English |
| Summary: | Background: Diseases primarily affects prostate gland are inflammation, hyperplasia, and
malignant tumour. Gleason score (GS) is an essential facet and together with PSA are
substantial in diagnosing, managing, and determining the prognosis of CaP. Purpose: The aims
of this study is to investigate the prevalence of prostatic lesions and its PSA level among
patients in anatomical pathology installation in RSUD Dr. Soetomo from year 2014 to 2016.
Method: This research is a retrospective study of prostatic lesions that were conducted from
year 2014 to 2016 (3 years) with emphasis on GS and PSA levels. Result: The distribution of
histopathological lesion found are benign lesion, benign prostate hyperplasia, adenocarcinoma,
prostatitis, benign prostate hyperplasia with prostatitis, prostatic intraepithelial neoplasia, non-
Hodgkin lymphoma, sarcoma, transitional cell carcinoma, and squamous cell carcinoma. The
most common findings in this cohort is benign lesion (34.6%) with age group of 61-70 years
old (51.94%) and adenocarcinoma with high GS of 9 (60%). Meanwhile, patients with GS >8
(high risk patient) contributed for 84.8%. Most of the cases (69.2%) have elevated PSA level
of > 20 ng/ml. Conclusion: The prevalence of prostatic lesions were able to be determined in
different age groups. High GS indicates a more aggressive type of adenocarcinoma suffered,
high risk for CaP. The results show that the possibility to detect malignancy with rising PSA
level are higher, although PSA is not considered as a specific marker. Keywords: prostate,
histopathology, benign lesion, PSA. |
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