Anatamoclinical study of prostate tumors in the Ignace Deen Hospital's Urology Department.

Objective: it was to compare picture and results of anatomopatholigical exa ms of the operated organs, given the individualization of new procedures in recent years. Methods: one hundred and eighty-two patients, aged from 50 to 98 years, wer e hospitalized for prostatic tumors. After a complete clinical exam followe d by surgery, the operated organs were the subject of a conventional histol ogical study. Data from the rectal touch (RT) were compared with the histol ogical results. Results: in the diagnosis of benignancy, RT and the histology are in agreem ent in 93% of the cases, though only in 75% of the cases of supected malign ancy. Seven percent of the occult cancers are observed, of which ten cases (6%) are adenocarcinoma at Stage A, and two cases (1%) of carcinoma in situ . We observe as well one case of prostatic localization of leukemia and one case of leiomyosarcoma. Prostatitic-type inflammatory lesions and malpighi an metaplasias are very frequent 18 and 7%, respectively). Basal cell hyper plasia is rare. Conclusion: the RT keeps its place in the exploration of the prostate, with in the framework of individual screening and patient follow-up. Transrectal echography and protein-specific antigen (PSA) dosing are certainly necessa ry but expensive in our country. Histology, which remains irreplaceable, al lows us to make a definitive diagnosis at low cost, (C) 2001 Editions scien tifiques et medicales Elsevier SAS.