Prostate Specific Antigen, Mean Platelet Volume, and Platelet Distribution Width in Combination to Discriminate Prostate Cancer from Benign Prostate Hyperplasia

Document Type : Research Articles


1 Department of Internal Medicine, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China.

2 Department of Geriatrics, the Second Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.

3 Heilongjiang Academy of Medical Science, Harbin, Heilongjiang, China.


Background: Prostate cancer (PCa) represents the second most commonly diagnosed malignancy and the sixth
leading cause for cancer related death among men worldwide. Although use of the prostate specific antigen (PSA) as
a diagnostic marker has improved the detection and management of PCa, low specificity and sensitivity has limited its
clinical efficacy. Moreover, elevated PSA is frequently observed in benign prostate hyperplasia (BPH). Mean platelet
volume (MPV) and platelet distribution width (PDW) are commonly used indicators of platelet activation. The purpose
of current study was to investigate the ability of PSA, MPV, and PDW individually or in combination, to differentiate
PCa from BPH. Materials and Methods: This study included 100 patients with PCa and 108 patients with BPH. We
collected all participants’ clinical and laboratory characteristics. The benefit of adding MPV and PDW to a model
with only PSA was evaluated as an increased in the area under the curve (AUC) obtained by receiver operating curve
(ROC). Results: PCa patients had reduced MPV and elevated PSA and PDW levels compared to BPH patients. Single
biomarkers had AUC values ranging from 0.683 for PDW to 0.865 for PSA. Moreover, the combination of PSA, MPV,
and PDW increased the AUC to 0.935 (0.892-0.964) (p<0.0001), significantly higher than those of any single marker.
Conclusions: The combined use of PSA, MPV, and PDW may be clinically useful in distinguishing between PCa and


Volume 19, Issue 3
March 2018
Pages 699-702
  • Receive Date: 12 June 2017
  • Revise Date: 01 October 2017
  • Accept Date: 21 January 2018
  • First Publish Date: 01 March 2018