INCIDENTAL PROSTATE CANCER IN TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) SPECIMENS HAVING INTERMEDIATE SERUM PROSTATE-SPECIFIC ANTIGEN (PSA) LEVEL.

Background: Prostate cancer is malignancy of elderly males. Latent prostate cancer are quite common after 60 years of age. It has been known that Serum prostate-specific antigen (PSA) level >10mg/ml are associated with prostate cancer. Aim: Present study was planned to determine the incidence of latent prostate cancer in patients undergoing Transurethral resection of the prostate (TURP) for Benign prostatic hyperplasia (BPH) and also histopathological outcome of patients having PSA level between 4 to 10ng/ml. Materials and methods: A total of 181 patients undergoing TURP for BPH were included in the study. Their age, PSA level, TURP, and histopathological outcome were analyzed. Result: Out of 181 patients undergoing TURP for BPH, 7 had prostate carcinoma and also had serum PSA level between 4-10ng/ml. Conclusion: Prostate cancer confined to prostate (stage 1) may be incidentally present in TURP patients with clinical diagnosis of BPH. So detailed histopathological examination and serum PSA level help in early diagnosis of stage 1 prostate cancer.