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The fact that 14,000 men died in 1962 from prostatic carcinoma again emphasizes the need for yearly rectal examinations of all men over the age of 40.Prostatic cancer produces symptoms only in the advanced stage. Detection of an early, clinically manifest, nodule in the prostate can best be accomplished by periodic rectal examination and biopsy of any palpably suspicious area. Surgical procedures cannot replace careful rectal palpation of the prostate as a screening technique. The term "early carcinoma of the prostate" should be reserved for those prostatic neoplasms which are palpable and are limited to the prostate. An overly aggressive attitude in searching for microscopic foci of prostatic carcinoma in a clinically latent phase by surgical screening procedures is not warranted. THE INCREASING IMPORTANCE of prostatic carcinoma could be due both to improved methods of detection and to the increasing number of years of life expectancy. In 1900, only one out of 25 persons in the US was at least 65 years old. Today, one person out of ten is a senior citizen and 9.2% of our population is over 65 years of age.1 Autopsy studies 2'4 have shown the incidence of prostatic cancer to be 14% to 46% in men over 50 years of age. The incidence rises with each decade of life, reaching the high of 46% in the ninth dec¬ ade.In 1958-1959 the age adjusted death rate per
The fact that 14,000 men died in 1962 from prostatic carcinoma again emphasizes the need for yearly rectal examinations of all men over the age of 40.Prostatic cancer produces symptoms only in the advanced stage. Detection of an early, clinically manifest, nodule in the prostate can best be accomplished by periodic rectal examination and biopsy of any palpably suspicious area. Surgical procedures cannot replace careful rectal palpation of the prostate as a screening technique. The term "early carcinoma of the prostate" should be reserved for those prostatic neoplasms which are palpable and are limited to the prostate. An overly aggressive attitude in searching for microscopic foci of prostatic carcinoma in a clinically latent phase by surgical screening procedures is not warranted. THE INCREASING IMPORTANCE of prostatic carcinoma could be due both to improved methods of detection and to the increasing number of years of life expectancy. In 1900, only one out of 25 persons in the US was at least 65 years old. Today, one person out of ten is a senior citizen and 9.2% of our population is over 65 years of age.1 Autopsy studies 2'4 have shown the incidence of prostatic cancer to be 14% to 46% in men over 50 years of age. The incidence rises with each decade of life, reaching the high of 46% in the ninth dec¬ ade.In 1958-1959 the age adjusted death rate per
In 152 patients who were suspected to have prostatic disease prostatic fluid obtained by a specially designed catheter was examined cytologically. Cytology was positive in 16 of 20 patients who initially were diagnosed clinically as having prostatic carcinoma, in 10 of 41 patients with suspected carcinoma and in 3 of 91 patients with clinical prostatic hypertrophy or other benign diseases. All but one of these cytologically positive cases finally were confirmed histologically to have prostatic carcinoma. In 4 patients initially diagnosed as having prostatic carcinoma cytology was not positive but in one the initial clinical diagnosis was incorrect and only 3 were false negative. This method of diagnosis is simple and highly effective in detecting prostatic carcinoma.
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