A Clinicopathological Profile of Prostate Cancer in Trinidad and Tobago

Aim. To conduct a clinicopathological review of all prostate biopsies performed in a tertiary referral centre in Trinidad and Tobago over a period of 30 months. Methods. The records of all patients who had prostate biopsies from January 2012 to July 2014 were reviewed. Clinical and pathologic data w...

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Main Authors: Ian Hosein, Rajendra Sukhraj, Lester Goetz, Nastassia Rambarran, Satyendra Persaud
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2016/2075021
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author Ian Hosein
Rajendra Sukhraj
Lester Goetz
Nastassia Rambarran
Satyendra Persaud
author_facet Ian Hosein
Rajendra Sukhraj
Lester Goetz
Nastassia Rambarran
Satyendra Persaud
author_sort Ian Hosein
collection DOAJ
description Aim. To conduct a clinicopathological review of all prostate biopsies performed in a tertiary referral centre in Trinidad and Tobago over a period of 30 months. Methods. The records of all patients who had prostate biopsies from January 2012 to July 2014 were reviewed. Clinical and pathologic data were compiled and subsequently analysed using SPSS version 20. Results. From January 2012 to July 2014, 617 transrectal ultrasound guided prostate biopsies were performed. Pathological data were found for 546 patients of whom 283 (51.8%) were confirmed carcinoma of the prostate. Moderately differentiated tumors (Gleason 7) were the most common group. Using the D’Amico risk classification, most cases were found to be high risk (63.1%). Afro-Trinidadians comprised 72.1% of the patients with prostate cancer. Afro-Trinidadians were also more likely to have high risk and high grade disease as well as high PSA values. Conclusion. This study demonstrates that over half of our biopsies are eventually positive for cancer and most cases were high risk. Afro-Trinidadians comprised a disproportionate number of those diagnosed with prostate cancer and had a greater risk of high risk disease.
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spelling doaj-art-8eff16cb37384b4fa53e29b65325b4d32025-02-03T07:26:18ZengWileyAdvances in Urology1687-63691687-63772016-01-01201610.1155/2016/20750212075021A Clinicopathological Profile of Prostate Cancer in Trinidad and TobagoIan Hosein0Rajendra Sukhraj1Lester Goetz2Nastassia Rambarran3Satyendra Persaud4Department of Urology, San Fernando General Hospital, San Fernando, Trinidad, Trinidad and TobagoDepartment of Urology, San Fernando General Hospital, San Fernando, Trinidad, Trinidad and TobagoDepartment of Urology, San Fernando General Hospital, San Fernando, Trinidad, Trinidad and TobagoThe 4H Hospital, Bridgetown, BarbadosDepartment of Urology, San Fernando General Hospital, San Fernando, Trinidad, Trinidad and TobagoAim. To conduct a clinicopathological review of all prostate biopsies performed in a tertiary referral centre in Trinidad and Tobago over a period of 30 months. Methods. The records of all patients who had prostate biopsies from January 2012 to July 2014 were reviewed. Clinical and pathologic data were compiled and subsequently analysed using SPSS version 20. Results. From January 2012 to July 2014, 617 transrectal ultrasound guided prostate biopsies were performed. Pathological data were found for 546 patients of whom 283 (51.8%) were confirmed carcinoma of the prostate. Moderately differentiated tumors (Gleason 7) were the most common group. Using the D’Amico risk classification, most cases were found to be high risk (63.1%). Afro-Trinidadians comprised 72.1% of the patients with prostate cancer. Afro-Trinidadians were also more likely to have high risk and high grade disease as well as high PSA values. Conclusion. This study demonstrates that over half of our biopsies are eventually positive for cancer and most cases were high risk. Afro-Trinidadians comprised a disproportionate number of those diagnosed with prostate cancer and had a greater risk of high risk disease.http://dx.doi.org/10.1155/2016/2075021
spellingShingle Ian Hosein
Rajendra Sukhraj
Lester Goetz
Nastassia Rambarran
Satyendra Persaud
A Clinicopathological Profile of Prostate Cancer in Trinidad and Tobago
Advances in Urology
title A Clinicopathological Profile of Prostate Cancer in Trinidad and Tobago
title_full A Clinicopathological Profile of Prostate Cancer in Trinidad and Tobago
title_fullStr A Clinicopathological Profile of Prostate Cancer in Trinidad and Tobago
title_full_unstemmed A Clinicopathological Profile of Prostate Cancer in Trinidad and Tobago
title_short A Clinicopathological Profile of Prostate Cancer in Trinidad and Tobago
title_sort clinicopathological profile of prostate cancer in trinidad and tobago
url http://dx.doi.org/10.1155/2016/2075021
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