[Diagnosis and treatment of carcinoma of the prostate].

Cancer of the prostate is one of the most common malignancies that appear in men, and immediately after the neoplasms in the bronchial tubes and stomach, it is the third most common cause of death in the Socialist Republic of Croatia. According to the anatomic division of the prostate gland (micro-anatomic structure of the gland), in most cases cancer develops in the peripheral zone which is constructed of very small and simple branching canals and small round sinuses whose cells are more regular and lower than those in the central zone. We insist on a classification according to the TNM system, while histologists emphasize the findings of a differentiation of cell "grading. 2" Although a rectal probe is quite effective in discovering malignancies of the prostate gland, a sure diagnosis can only be made by cytological examination, by which the type of carcinogen can be ascertained. From 1971 to 1979, the authors performed aspiration transrectal cytological punctures on 526 patients. Cancer was suspected in 142 patients. 95 of these patients (66.9%) were found to have malignant cells. With a needle specially designed by the authors, the puncture treatment was performed on 57 patients. The authors recommend that every male over 50 years of age should undergo an annual digito-rectal examination, as well as all those in advanced years who have unusual rheumatic or pelvic problems. Of course, every suspicious knot on the prostate gland receive the puncture treatment and by cytologically examined.