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ORIGINAL ARTICLE
Year : 2010  |  Volume : 13  |  Issue : 1  |  Page : 64-66

Fear of prostate biopsy: A limitation in the management of prostate cancer


1 Department of Surgery, Faculty of Clinical Sciences, College of Health Sciences, Delta State University, Abraka, Nigeria
2 Department of Chemical Pathology, Faculty of Clinical Sciences, College of Health Sciences, Delta State University, Abraka, Nigeria

Correspondence Address:
A Akhator
Department of Surgery, Faculty of Clinical Sciences, College of Health Sciences, Delta State University, Abraka
Nigeria
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Source of Support: None, Conflict of Interest: None


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Background: The incidence of prostate cancer is increasing in the country and now constitutes 11% of all male cancers. For diagnosis of prostate cancer, a histological diagnosis is necessary and this requires that a prostate biopsy be performed but patients may not readily accept this invasive procedure. Methods: A 2-year retrospective study was carried out in Baptist Medical Centre, Eku, Delta State from JanuaryV2004 2004 to December 31 st 2005; data were collected from case notes of patients who had serum prostate specific antigen (PSA) done to review the response of patients to the offer of prostate biopsy after an elevated serum prostate specific antigen result. Results: There were 65 patients aged between 48years to 97years, mean age was 71years. 45 patients were offered prostate biopsy based on elevated serum prostate specific antigen (PSA) and/or findings on digital rectal examination (DRE). Only 12 (26.67%) accepted and of these, 4 (33.33%) had a histological diagnosis of adenocarcinoma of the prostrate. Conclusion: Our study has shown that majority of symptomatic prostate cancer patients refuse biopsy regardless of adequate counseling.


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