NHG-Standaard
M113
1.1
maart 2024
september 2024
W/X/Y. Zwangerschap / anticonceptie / geslachtsorganen man en vrouw

Richtlijnen diagnostiek

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Counseling vroegdiagnostiek

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Lichamelijk onderzoek

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Aanvullend onderzoek

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Richtlijnen beleid

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Voorlichting en advies

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Consultatie en verwijzing

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Belangrijkste wijzigingen

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Kernboodschappen

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Achtergronden

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Prostaatspecifiek antigeen

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Vroegdiagnostiek

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Prostaatkanker

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Familiaire prostaatkanker

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Erfelijke prostaatkanker

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Actief volgen (active surveillance)

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Waakzaam afwachten (watchful waiting)

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Epidemiologie

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Mate van uitbreiding

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Etiologie en prognose

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Familiaire prostaatkanker

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Erfelijkheid

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Behandelingen, complicaties en prognose

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Pathofysiologie en symptomatologie

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Vroegdiagnostiek

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Effecten van systematische screening

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Levensverwachting en vitaliteit

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Afweging wel of geen PSA-bepaling

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MRI van de prostaat

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Richtlijnen diagnostiek

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Counseling over vroegdiagnostiek

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Schriftelijke informatie

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Lichamelijk onderzoek

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Aanvullend onderzoek

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Indicaties voor PSA-meting

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Indicaties voor periodieke PSA-meting

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Situaties waarin PSA-meting niet wordt aanbevolen

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Uitvoering van de PSA-meting

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Richtlijnen beleid

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Voorlichting en advies

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Afwijkend rectaal toucher

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Lage PSA-waarde (< 1 ng/ml)

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Normale PSA-waarde (> 1 ng/ml maar < 3 ng/ml)

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Aanwijzingen van (bot-) metastasen

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Hogere PSA-waarden (≥ 3,0 ng/ml)

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Consultatie en verwijzing

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Aandachtspunten bij verwijzing

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Follow-up van (behandelde) prostaatkanker

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Referenties

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NHG-werkgroep:
M.H. Blanker, S.H. Bouthoorn, S. Klinkhamer, J.M.E. van der Does, G.M. van der Weele, K. Vos, R.L.S. Weersma, R.J. Wolters
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