RESUMEN
O objetivo da pesquisa foi analisar os dados laboratoriais dos participantes da campanha "Saúde do Homem" em novembro de 2017, em Santarém/PA/Brasil. Estudo do tipo transversal e quantitativo, de análise do escorre internacional de sintomas prostáticos (I-PSS), de questionário e de exames laboratoriais. O total de 36 homens acima de 40 anos, com idade média de 55,8 anos participaram da campanha. Estes passaram pelo exame digital da próstata e por exames laboratoriais, como PSA e urofluxometria. A dosagem sérica de PSA mostrou que 100% dos pacientes obtiveram valores de 0-4 ng/ml. Destes, 25 (69%) exibiram ao exame digital da próstata peso estimado abaixo de 30g. No que tange ao exame da urofluxometria, 64% expressaram volume urinário de 150 a 500 ml. Vinte pacientes mostraram valores inferiores a 15 ml/s ao fluxo máximo e os outros, igual ou superior a 15 ml/s. O padrão de curva de fluxo urinário mais prevalente foi do tipo cauda, representando 75% (n=27) e o tipo sino foi o menos frequente com 5,5% (n=2). No resíduo pós-miccional, 39% (n=14) obtiveram acima de 20 ml. De modo que 4 destes apresentaram acima de 100 ml, sugestivo de obstrução urinária. Os resultados neste trabalho permitiram identificar que as alterações encontradas podem estar associadas a obstrução ou disfunção vesical, no entanto, como exame de triagem do risco de câncer de próstata e dos sintomas de HPB, esses testes são suficientes para selecionar os pacientes que se beneficiam do tratamento adequado ou investigação mais complexa.
The objective of this research was to analyze the laboratory data of the population end of campaign "Man's Health" in November 2017, at Santarém/PA. Study of transverse type and quantitative analysis of the flows of international prostate symptoms (IPSS), a questionnaire and laboratory tests. The total of 36 men over 40 years, with an average age of 55.8 years participated in the campaign. These passed through the prostate digital exam and lab tests, such as PSA and uroflowmetry. The dosage of serum PSA showed that 100% of patients obtained values of 04 ng/ml. Of these, 25 (69%) exhibit digital prostate exam estimated weight below 30 g. With regard to the examination of uroflowmetry, 64% expressed urinary volume of 150 to 500 ml. Twenty patients demonstrate less than 15 ml/s maximum flow and the other, not less greater than 15 ml/s pattern of urinary flow curve more prevalent was the tail type, representing 75% (n = 27) and the Bell type was less frequent with 5.5% (n = 2). In the pós - miccional residue, 39% (n = 14) achieved over 20 ml. So that 4 of these being presented over 100 ml, suggestive of urinary obstruction. The results in this paper identified the changes found may be associated with obstruction or bladder dysfunction, however, as screening examination of the risk of prostate cancer and BPH symptoms, these tests are sufficient to Select the patients who benefit from appropriate treatment or investigation.
RESUMEN
Introducción: el incremento de las enfermedades oncológicas cobra cada vez más vidas en el mundo y en Cuba, sin distinción de raza y edad. En la actualidad esta enfermedad ocupa un lugar cada vez más preponderante a nivel mundial y constituyen la primera causa de muerte. El cáncer de próstata constituye la segunda causa de muerte en el hombre a nivel mundial y ocupa el quinto lugar dentro de los tumores malignos, con un estimado de 30 000 casos nuevos por años en el mundo. Objetivo: caracterizar el comportamiento sérico de la testosterona y el antígeno prostático específico en los pacientes portadores de carcinoma prostático, en los años 2013 a 2015 en la provincia de Holguín. Métodos: se realizó una investigación de tipo descriptiva transversal. El universo estuvo constituido por 104 pacientes diagnosticados con cáncer de próstata, en el Centro Oncológico del Hospital Vladimir Ilich Lenin. Se utilizaron indicadores descriptivos del tipo de las frecuencias absolutas, porcentaje, media, desviación estándar y coeficiente de variación. Se distribuyeron las cifras de testosterona y antígeno prostático específico en grupos de edades y se asociaron a sus valores séricos. Resultados: las cifras de testosterona se mantuvieron normales en el 97,12% de los casos, mientras que los niveles del antígeno prostático específico se elevaron considerablemente en el 85,57%. El grupo de edades con mayor frecuencia absoluta, en ambos casos, fue el de 61 a 71 años. Conclusiones: el carcinoma prostático afecta principalmente al adulto mayor y que eleva el antígeno prostático específico. Es necesario aplicar el programa establecido para un diagnóstico precoz de dicha enfermedad con lo que se eleva la posibilidad de un tratamiento oportuno y efectivo que facilite las probabilidades de curación y control de la misma.
Introduction: the increase of oncological diseases is taking on more and more lives in the world and in Cuba without distinction of race and age. At present this disease occupies an increasingly preponderant place in the world and is already the leading cause of death. Prostate cancer is the second leading cause of death in men worldwide and ranks fifth in the cause of this condition, with an estimated 30.000 new cases per year in the world. Objective: to characterize the serum behavior of testosterone and specific prostatic antigen in patients with prostatic carcinoma, from 2013 to 2015 in the province of Holguín. Methods: a retrospective cross-sectional descriptive study was carried out. The universe consisted of 104 patients diagnosed with prostate cancer at the Cancer Center of Vladimir I. Lenin Hospital. Descriptive indicators of the type of asolute, percentage, mean, standard deviation and coefficient of variation were used. The testosterone and specific prostatic antigen numbers were distributed in age groups and their serum values were associated. Results: testosterone levels remained normal in 97.12% of cases, while levels of prostate specific antigen increased significantly in 85.57%. The age group with the most patients presented in both cases was 61 to 71 years. Conclusions: this research confirmed that this neoplasia mainly affects the elderly and raises the specific prostatic antigen. The program established for an early diagnosis of this disease is necessary to be applied, which raises the possibility of a timely and effective treatment that facilitates the chances of cure and control of this illness.