Objective:Toshow the contribution of the pathological examination, associated with prostatic specific antigen (PSA), in the early detection of prostate cancer in Western Algeria.
Methodology:This study focused on 160 cases, old between 50-80 years, with histologically confirmed prostate adenocarcinoma and carried out in urology hospitals in western Algeria during the period from 2007 to 2011. Tumor stage, PSA, Gleason score and the degree of tumor differentiation were analyzed.
Results:135 patients, with a poor prognosis and a Gleason score > 8 index of incurable malignant aggression, have not been the subject of this study. But the other 35 patients were candidates because they had a favorable prognosis with a localized stage that could be curable. Gleason score was between 5-6 in 5 patients with TPSA 10 ng / ml at differential stage, score of 7 in 10 patients with TPSA between 10-20 ng / ml atmoderately differentiated stage and finally a score of 8 in 20 patients with TPSA between 20,1-50 ng / ml at apoorly differentiated stage.
Conclusion:There is a strong correlation between TPSA, Gleason score and the degree of tumor differentiation. Biological and pathological prognosis, established early, can reduce tumor progression.