To Evaluate the Corelation between Age and Gleason Score in Patients with Prostate Cancer- A Tertiary Care Hospital Based Study

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Abstract

Objective: The aim of this study is to evaluate the corelation between age and Gleason score in patients with prostate cancer. Materials and Methods: From January 2009 to December 2021, 268 Asian Pakistani men who underwent prostate biopsy and were diagnosed with Prostate Adenocarcinoma have been included in this study, The age of patients ranged from 40 years to 94 years. The indications for biopsy were suspicious digital rectal examination and abnormally high PSA. The procedure was performed either transurethrally, transperineally or transrectally, Results: A total of 268 patients were diagnosed with Prostate Adenocarcinoma, the age range was from 40 to 94 years. The median age was found as 68 years with an interquartile range of 15 years. The median Gleason score was found as 8 with an interquartile range of 7 scores. A negative weak corelation was found between the age of the patients at the time of diagnosis and the Gleason score (r= -0.013, p=0.832). Conclusion: Though there are many studies that support the existence of corelation between increasing age and Gleason Score, our study, like a couple of others, showed no association between the two and a weak positive corelation. Our conclusion of the study is that while studying the relationship between the two, other variables like PSA, DRE findings and TNM classification of the tumor are also important. Hence, more work needs to be done in this regard.
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评价年龄与前列腺癌患者格里森评分的相关性——一项基于三级医院的研究
目的:探讨前列腺癌患者年龄与Gleason评分的相关性。材料与方法:2009年1月至2021年12月,268例经前列腺活检诊断为前列腺腺癌的亚裔巴基斯坦男性纳入本研究,患者年龄40岁至94岁。活检指诊可疑,PSA异常高。结果:经尿道、经会阴、经直肠三种方式行前列腺癌手术。结果:确诊前列腺癌患者268例,年龄40 ~ 94岁。中位年龄为68岁,四分位数间距为15岁。Gleason评分中位数为8分,四分位数范围为7分。诊断时患者年龄与Gleason评分呈弱负相关(r= -0.013, p=0.832)。结论:虽然有许多研究支持年龄增长与Gleason评分之间存在相关性,但我们的研究和其他一些研究一样,表明两者之间没有关联,而是弱正相关。我们的研究结论是,在研究两者之间关系的同时,其他变量如PSA、DRE结果和肿瘤的TNM分类也很重要。因此,在这方面还需要做更多的工作。
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