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Catalona, W., Richie, J., Ahman, F., Hudson, M., Scardino, P., Flanigan, R., Dekernion, J.B., Ratliff, T.L., Kavoussi, L.R. and Dalkin, B.L. (1994) Comparison of Digital Rectal Examination and Serum Prostate Specific Antigen. Journal of Urology, 151, 1283-1290.

has been cited by the following article:

• TITLE: Clinical Stage Evaluation at Diagnosis of Prostate Cancer at Urology-Andrology Clinic Cnhu-Hkm Cotonou

  AUTHORS: Hounnasso Prince Pascal, Avakoudjo Josué Dejinnin Georges, Soumanou Fouad Kolawalé Yde, Koussouhon Manoël Dossavi, Yevi Dodji Magloire, Vodonou Alexandre

  KEYWORDS: Prostate Cancer, Anatomical Pathology, Total Serum PSA

  JOURNAL NAME: Open Journal of Urology, Vol.5 No.3, March 11, 2015

  ABSTRACT: Aims: To evaluate the clinical stage at diagnosis of prostate cancer. Materials and Methods: This study was retrospective anddescriptive from January 2008 to June 2013. Patients who were diagnosed with prostate cancer wereinvolved and confirmed by clinical examination anatomopathological screening. They also realized a total serum PSA, a bladder-prostatic and abdominal ultrasound. Results: Average age was seventy years, ranging from fifty years to seventy years. The general status of our patients was satisfactory in 78% of cases. Main symptoms were dysuria and frequencyin 96% and 86%, respectively. Family past history of prostate cancer were found in 24% of cases. Twenty-three patients (43%) had a total serum PSA ≥ 100 ng/ml. Adenocarcinoma was the main histological type. Grades 1 and 4 were the most frequent. Thirty-three patients (66%) had a Gleasonscore betwen [2]-[6]. Forty-four patients (88%) had locally advanced and metastatic desease. The D’Amico score was identified in six patients but 3 and 2 patients were low risk and intermediate riskrespectively. Finally, 1 patient was high risk. Conclusion: Prostate cancer remains elderly man cancer. It was discovered in locally advanced and metastatic desease in this series. This diagnosis was late in the majority of cases.