Association of serum prostate-specific antigen with Complete Blood Counts in patients with prostatic cancer

  • Dr. Rashmi G S Basavaraj Consultant Pathologist, Malladad Rudramma Memorial Hospital, Haveri, Karnataka, India
  • Dr. Ravikumar Malladad Consultant Physician, Malladad Rudramma Memorial Hospital, Haveri, Karnataka, India
Keywords: Prostate Cancer, PSA, Hemoglobin and RBCs

Abstract

Background: Prostate cancer is the second most common cancer and one of the most leading causes of death in men worldwide. The prostate-specific antigen (PSA) as a screening method showed that there has been a slight decrease in prostate cancer mortality. Effective biomarkers in screening and diagnosis would be beneficial for avoiding unnecessary operations. The predictive and prognostic value of complete blood count (CBC) has been manifested by recent studies. We aimed to determine the association of serum PSA with Complete blood counts in patients with prostate cancer.

Method: The present study included 100 subjects, 50 patients diagnosed with new prostate cancer and 50 patients with prostate cancer. All the was undertaken in the central diagnostic laboratory at VIMS and RC. Blood samples were collected from all the subjects after taken permission from the institutional ethics committee and consent form. The haemoglobin, RBCs, MCV, MCHC, RDW will be analysed by using laboratory standard methods (Beckman coulter LH-780) and The serum PSA levels are estimated by commercially available kits based on enzyme-linked immunosorbent assay (ELISA).

Results: In the present study found significantly elevated levels of a prostate specific antigen in both groups of prostatic cancer patients. The reduced levels of hemoglobin, red blood cells, platelets, neutrophils were observed in prostatic cancer patients when compared to newly diagnosed prostate cancer patients. The PSA levels were negatively correlated with total blood counts.

Conclusion: This study suggests that the elevated levels of prostate specific antigen were useful for diagnosis and prognosis of prostatic cancers, along with the monitoring of complete blood count may be useful for the treatment of patients with prostatic cancers.

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References

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Vickers AJ. Prostate Cancer Screening: Time to Question How to Optimize the Ratio of Benefits and Harms. Ann Intern Med. 2017 Oct 3;167(7):509-510. doi: 10.7326/M17-2012.

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McNeal JE. Regional morphology and pathology of the prostate. Am J Clin Pathol. 1968 Mar;49(3):347-57. doi: 10.1093/ajcp/49.3.347.

Ercole CJ, Lange PH, Mathisen M, Chiou RK, Reddy PK, Vessella RL. Prostatic specific antigen and prostatic acid phosphatase in the monitoring and staging of patients with prostatic cancer. J Urol. 1987 Nov;138(5):1181-4. doi: 10.1016/s0022-5347(17)43543-9.

Mittal, R. D., Singh, M. K., Selvaraju, C., & Choudhuri, G. Total PSA and free PSA in patients with severe liver dysfunction. Indian Journal of Urology, 19.2 (2003): 117.

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Lucia MS, Epstein JI, Goodman PJ, Darke AK, Reuter VE, Civantos F, et al. Finasteride and high-grade prostate cancer in the Prostate Cancer Prevention Trial. J Natl Cancer Inst. 2007 Sep 19;99(18):1375-83. doi: 10.1093/jnci/djm117.

Han PK, Kobrin S, Breen N, Joseph DA, Li J, Frosch DL, et al. National evidence on the use of shared decision making in prostate-specific antigen screening. Ann Fam Med. 2013 Jul-Aug;11(4):306-14. doi: 10.1370/afm.1539.

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CITATION
DOI: 10.17511/jopm.2021.i04.02
Published: 2021-09-06
How to Cite
Dr. Rashmi G S Basavaraj, & Dr. Ravikumar Malladad. (2021). Association of serum prostate-specific antigen with Complete Blood Counts in patients with prostatic cancer. Tropical Journal of Pathology and Microbiology, 7(4), 162-169. https://doi.org/10.17511/jopm.2021.i04.02
Section
Original Article