Can prostate-specific antigen kinetics before prostate biopsy predict the malignant potential of prostate cancer?

Sang Jin Kim, Tae Yoong Jeong, Dae Seon Yoo, Jinsung Park, Seok Cho, Seok Ho Kang, Sang Hyub Lee, Seung Hyun Jeon, Tchun Yong Lee, Sung Yul Park

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Purpose: To predict the malignant potential of prostate cancer (PCa) according to prostate-specific antigen velocity (PSAV), PSA density (PSAD), free/total PSA ratio (%fPSA), and digital rectal examination (DRE). Materials and Methods: From January 2009 to December 2012, 548 adult male patients were diagnosed with PCa by prostate biopsy at four hospitals in Korea. We retrospectively analyzed 155 adult male patients with an initial PSA level ≤10 ng/mL and whose PSA levels had been checked more than two times at least 6 months before they had been diagnosed with PCa, with test intervals of more than 3 months. Patients with a urinary tract infection, and patients who had previously undergone cystoscopy or surgery of the prostate were excluded. We separated patients into two groups according to Gleason sum [Gleason sum ≤7 (n=134) or Gleason sum ≥8 (n=21)] and the presence of extracapsular invasion [organ confined (n=129) or extracapsular invasion (n=26)]. Differences between the groups were compared. Results: The group with a Gleason sum ≥8 or extracapsular invasion of PCa showed high PSAV and significantly lower %fPSA. There were no significant differences in PSAD and the presence of an abnormality on DRE between two groups. Conclusion: In PCa patients treated with other therapies besides prostatectomy, a high PSA velocity and a low %fPSA may predict high grade PCa with a Gleason sum ≥8 or the presence of extracapsular invasion.

Original languageEnglish
Pages (from-to)1492-1496
Number of pages5
JournalYonsei medical journal
Issue number6
Publication statusPublished - 2015 Nov
Externally publishedYes

Bibliographical note

Publisher Copyright:
© Yonsei University College of Medicine 2015.


  • Gleason score
  • Prostate-specific antigen
  • Prostatic neoplasms

ASJC Scopus subject areas

  • General Medicine


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