Serum total PSA and free PSA in breast tumors |
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| Authors: | Prakruti Dash Sanghamitra Pati Manaswini Mangaraj Pratima Kumari Sahu Prakash Chandra Mohapatra |
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| Institution: | (1) Department of Biochemistry, S.C.B.Medical College, Cuttack, 753007, India;(2) Department of Biochemistry, IMS and SUM Hospital, Siksha O Anusandhan University, Bhubaneswar, Orissa, 751003, India |
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| Abstract: | Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Several studies have demonstrated
the production of PSA in female tissues, such as breast. The present piece of work has been undertaken with an objective to
estimate the relative proportion of the molecular forms of PSA in serum along with serum testosterone in benign and malignant
breast tumor cases and to analyze their association with the severity of the disease process 34 malignant and 26 benign breast
disease cases along with 33 healthy controls of same age group were enrolled in this study for evaluation. Serum testosterone
was measured by ELISA, whereas serum total PSA (TPSA) and free PSA (FPSA) were estimated by electrochemiluminescence immunoassay.
A significant rise of fasting plasma glucose along with prominent dyslipidemia was observed in breast tumor cases. Marked
rise in serum testosterone as well as TPSA and FPSA was documented in both benign and malignant breast tumor cases. Serum
testosterone revealed a significant positive association with both TPSA and FPSA pointing towards an etiological association
between them. However, surgical removal of tumor mass resulted in a marked decline of presurgical value of both TPSA and FPSA
with a non-significant fall in serum testosterone revealing tumor tissue as the source of FPSA and TPSA. Thus, estimation
of PSA provides prognostic information that may assist in future treatment. |
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| Keywords: | Breast tumors Testosterone TPSA FPSA |
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