Year only square professor of 65 years old, scientific research of emeritus postheat heart, although discover hematic PSA is apparently unusual before New Year, show undertake the gender lifts, still rejected the proposal of its children and doctor, do not see a doctor to the hospital, continue to immerse oneself in scientific research. The back bone that appears subsequently is painful, also consider as long-term strain be caused by by accident. Manage till occurrence disease it is sexual fracture, difficult to walk, just feel the problem is serious, to the hospital the examination discovers prostate cancer is terminal already, regret having done sth. Although pass complete androgen,endocrine is treated, the illness improves temporarily, but missed prostate cancer first-rate to treat an opportunity after all.

As contrary as this is the friend that just teachs a village, discovery asks to make prostate puncture vivid check instantly after PSA is elevatory, although made ability 3 times diagnose a prostate cancer, belong to as a result of pathological changes inchoate, undertook prostate cancer effects a radical cure in time operation, the many yearly check after art measures PSA negative, now already 75 years old of advanced age, the body is hale, enjoy life fun.

What is PSA? It is English Prostate Specific Antigen, namely " prostate particularity antigen " abbreviate, it is prostate excretive a kind of material, the much after entering blood stream exists with combinative form, minority exists with the condition of free, normal limits is 4 accept of 0 ～ are overcome / milliliter. If lift, clew prostate may change unhealthily, wait like disease of hyperplasia of prostate cancer, prostatitis, prostate. The element of a little exciting prostate also can cause PSA to lift, have calorific, sex commonly mobile hind, catheterization or / point to check to wait with relevant examination, rectum.

PSA is 10 accept of 4 ～ to overcome / milliliter (even 20 accept are overcome / milliliter) in the male, tall PSA is main by the benign and proliferous be caused by of prostate. But if be opposite,this kind of patient has prostate vivid check, sometimes can check gives prostate cancer, prostate is called on medicine abiogenesis cancer, this kind of circumstance often is in patient of disease of hyperplasia of a few prostate, accept classics is urethral after prostate resection, accident in the prostate organization of excision discovery has cancer to organize, the prostate cancer occurence rate of this kind of type is in about 3% ～ 10% . Most abiogenesis cancer is bureau kitchen model, tumor bulk become divided of small, cell is good, grow slow, move chance is not much, prognostic and good. If be,diffuse model, tumor bulk become divided of big, cell is undesirable a progress of easy occurrence disease and move, about 1/3 can evolve for clinical prostate cancer (clinical cancer) . Alleged and clinical cancer, the department points to prostate cancer shape appears, or auxiliary examination (rectum shows B of rectum of check, classics exceeds reach serum prostate distinctive antigen determines etc) doubtful for cancer, organize the prostate cancer that examination pathology confirms via prostate live body. Abiogenesis cancer progress often hints for clinical cancer have local pathological change progress, all round draw near to the organization is encroached or be transferred, prognosis is poorer.

To master the progress circumstance of abiogenesis cancer in time, trends observes a kind to the change of serum PSA is very valuable along with seek measure. PSA is the particularity mark content of prostate, although it is in on the diagnosis of abiogenesis cancer not very distinctive, but the prognosis that can be used at monitoring abiogenesis cancer. If be in after spermary castrate or prostate hyperplasia art follow for a long time in visitting, PSA value is shown low-level, and symptom of bed of extremelying He Lin, other and auxiliary examination also does not have electropositive discovery, indicate pathological change and do not have progress. And clinical the person that show exasperate trend, PSA shows ascendant trend, once sufferred from benign prostate especially proliferous and travel prostate resection, the person that the PSA after art rises, require high vigilance prostate cancer is likely. Unusual to PSA appearing after prostate hyperplasia art person should do classics rectum B to exceed guide the prostate puncture live body below to organize an examination, in order to discover canceration, have seasonable treatment. Can use according to circumstance of the patient's age, whole body normally effect a radical cure sexual prostate resection, endocrine is treated, put cure to wait. Opposite to the age the abiogenesis cancer patient inside coating of prostate of be confined to of bureau of kitchen of Shang Jia of circumstance of lighter, whole body, cancer should strive for as soon as possible to undertake effecting a radical cure art, long-dated effect is good.

Author brief introduction: Wang Zhong, shanghai traffic university is accessary director of surgery of make water of secrete of hospital of the 9th people, professor, chairman doctor, doctoral student adviser. The diagnostic processing of miscellaneous disease of common to surgery of secrete make water disease and difficulty has rich experience. Be good at make water of prostate hyperplasia, prostate cancer, secrete is the comprehensive treatment of tumor, special the rehabilitate that is good at deformation of genital of complex secrete make water and rebuild, phallic false body is embedded etc.

(Responsibility edits: Liu Zhenlong)