title: [Efficient diagnosis of prostate carcinoma].
abstract: If rectal examination reveals conspicuous palpation findings of the prostate gland, a biopsy must be taken from the corresponding area, because there are no suitable laboratory measures that could help make up a definite diagnosis. Independently from methods, acid phosphatase as well as urine hydroxyprolin show elevated levels only in cases of metastatic formation. Lymphography results are insufficient and inaccurate. Staging lymphadenectomy is the best procedure to evaluate the lymph nodes; because of the relatively high complication rate, however, this operation is only indicated in case of curative treatment. Good results have been achieved through trans-cutaneous fine needle biopsy of the lymph nodes. In order to detect bone metastases, bone-scanning has proved to be valuable. In case of suspicious findings, X-ray procedures must follow in order to reassure the diagnosis. Topical scientific methods are discussed.
mesh_terms: D001706:Biopsy / Q000379:methods; D001842:Bone and Bones / Q000000981:diagnostic imaging; D002277:Carcinoma / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008220:Lymphography; D008297:Male; D009367:Neoplasm Staging; D011467:Prostate / Q000473:pathology; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000473:pathology; D011877:Radionuclide Imaging
vernacular_title: Die sinnvolle Diagnostik beim Prostatacarcinom.