PSA检测在前列腺癌早期筛查中的重要性.pptVIP

Importance of prostate cancer early mass screening using PSA PSA检测在前列腺癌早期筛查中的重要性 Shanghai Ailex Medicine Co., Ltd Jiajun Qin 2009.08. Ao Lee，Taiwan PCa Overview The prostate is part of the male reproductive system Its major function is to secrete a fluid to nourish semen during intercourse The prostate is about the size of a walnut， but it can grow with age It is located below the urinary bladder, in front of the rectum surrounding the urethra (the canal for the discharge of urine that extends from the urinary bladder to the outside) The incidence of PCa world-wide, age-standardized using the World Standard Population The international incidence of PCa : age-standardized using World Standard Population Comparison of PCa’s MR and IR Morbidity and Mortality Rates of PCa increase in China In 1985, the age-adjusted morbidity and mortality rates of PCa in Beijing were 2.41 and 1.19/100,000 males respectively . In 1995, they were 4.55 and 2.36/100,000 males respectively. In Beijing, the morbidity rate of PCa has increased about 2.3 times from 1985 to 1995. Gu Fangliu. Chinese J Urology 1997, 18(1):58~62. Gu Fangliu. J Practical Medicine 2000,16(12):977~8. Du Shufa, et al. J Hygiene Research 1997, 26(5):356~9. Standardized Incidences(SI) of PCa in Shanghai (1990-2000, 1/100,000) Ranks of urological cancers among Top 10 male cancers in Shanghai (1998-2000) Cancer 1998 1999 2000 PCa 9 9 7 Bladder 7 7 8 Kidney 10 10 10 Shao CX, et al. Chinese J Health Statistics 2005, 32: 321 Zhang W, et al. Chinese J Cancer, 2004, 23: 555. Tumor 2003,23(6): 532. Age-adjusted incidence rates of PCa in China from 1993-1997. Prostate cancer in Chinese migrants Different Morbidity