Percentage of free serum prostate-specific antigen: a new tool in the early diagnosis of prostatic cancer.

作者: M.-E. Toubert , J. Guillet , M. Chiron , P. Meria , C. Role

DOI: 10.1016/S0959-8049(96)00245-6

关键词:

摘要: Prostate-specific antigen (PSA) is a protease able to bind serum antiproteases as alpha 1 antichymotrypsin (ACT). Free PSA (FPSA) corresponds the fraction of total (TPSA) which unbound ACT. Specific detection FPSA seems be valuable tool in distinction between prostatic cancer (PCa) and benign hyperplasia (BPH). Our aim was evaluate retrospectively FPSA/TPSA ratio comparison TPSA or determination, using two new immunoradiometric assays (PSA-RIACT FPSA-RIACT, CIS bio international, Gif Sur Yvette, France) early diagnosis PCa. 256 men, with levels 0.7 44.7 ng/ml (median age = 69 years), including 164 sera obtained from patients BPH 92 untreated PCa were assayed. All diagnoses histologically confirmed tested before any adjuvant treatment. The evaluation median groups showed significantly different values (BPH group: 24.2%, 12.1%, P 10 ng/ml).

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