Need for and relevance of prostate cancer screening in Nigeria

摘要: Prostate cancer (PCa) has become the most prevalent among males in Nigeria, and similar to other black populations, Nigerian men present with more advanced disease at an earlier age than several ethnic groups. In this unscreened, high-risk group, reference range for early detection diagnosis as well risk factors need be determined through large-scale screening. Over 4 years, 1124 previously unscreened between 40 85 years of were screened free community health programmes PCa, using common parameters prostate-specific antigen (PSA) plus digital rectal examination (DRE). We thereby assessed practicality importance Consent was obtained, demographic data PSA measured qualitative laboratory kits, DRE performed by surgeons. We found that number attending consenting screening increases from year year. Of 40–85-year-old men, 85.4% consented, whom 33.3% (a third) 60% 51–60 old 51–65 respectively. While 11.5% had >4 ng/ml, 31.45% showed abnormal DRE. who took test, 79.2% also consented DRE, 5.8% combined ng/ml. Our findings suggest are a willing group both positive response calls interest prostate health. The finding ng/ml 11.15% population reveals greater awareness measures increase detection. However, value validity established ranges cutoff ‘normal’ still established. Screening is very important better define PCa prevalence characteristics our population; otherwise political economic circumstances will ensure late aggressive PCa.