https://doi.org/10.4081/aiua.2022.1.18

Predictive value of PSA density in the diagnosis of prostate cancer in lebanese men

Vol. 94 No. 1 (2022)
Submitted: September 22, 2021
Accepted: October 15, 2021
Published: March 28, 2022
PSAD, Prostate biopsy, PSA, Age, Prostate volume
Abstract Views: 890
PDF: 532
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Authors

Ali Msheik
newpie@mail.com
PGY-1 Neurosurgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Mohamed Mohanna
PGY-1 Internal Medicine, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Ali Mhanna
PGY-1 General Surgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Ali Kanj
Radiology Department, Bahman Hospital, Beirut, Lebanon.
Mohamad Moussa
Chairman of General Surgery and Urology Department, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Assaad Mohanna
Radiology Department, Bahman Hospital, Beirut, Lebanon.

Objective: Being the second most common cancer in men, prostate cancer detection relies on laboratory tests, imaging, and surgical procedures, although biopsy remains the mainstay in diagnosis of prostate cancer. No clear cut-off of prostate specific antigen density (PSAD) for suspecting prostate cancer has been established in the Lebanese population. Our primary objective was to evaluate the diagnostic strength of the PSAD value versus total prostate specific antigen (tPSA) level in the Lebanese men in correlation with biopsy outcome to avoid unnecessary prostate biopsy.
Methods: A retrospective study of 347 patients with history of prostate biopsy done for cancer suspicion included tPSA, prostate volume, and prostate density values and results of prostate biopsy. Data was collected from Bahman hospital and statistical analysis of the mean values of tPSA, prostate volume and PSAD in different age groups was done. Significance of the results was tested using.
Results: On average, patients with negative biopsies were younger and they had lower tPSA levels, lower PSAD values and larger prostate volume compared to patients with positive biopsies. A PSAD cutoff of 0.185 ng/ml2 revealed the highest predictive strength for prostate cancer (6 times risk) compared with other parameters. These findings were mainly referred to patients with PSA > 10 ng/ml.
Conclusions: A multifactorial approach must be conducted including all parameters in order to decide upon the need for prostate biopsy. PSAD proved to be a good marker in favor or against a prostate biopsy with a cut-off of 0.185 ng/ml2, especially in patients with tPSA level higher to 10 ng/ml. A multicenter study was recommended for better and more reliable results and more precise cut-offs.

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How to Cite

Msheik, A. ., Mohanna, M. ., Mhanna, A. ., Kanj, A. ., Moussa, M. ., & Mohanna, A. . (2022). Predictive value of PSA density in the diagnosis of prostate cancer in lebanese men. Archivio Italiano Di Urologia E Andrologia, 94(1), 18–24. https://doi.org/10.4081/aiua.2022.1.18

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