“…Patients with a high-grade tumor (grades III and IV) and PSA level < 10 had tumor confined to the gland. But we believe that high-grade tumors may exhibit extraprostatic tumor even with a low PSA level [9, 25,26], When PSA level of 10 ng/ml was used as the cutoff value to predict extraprostatic tumor, specificity, sensitiv ity and accuracy rates were 47, 97 and 66%, respectively (table 3). When 20 ng/ml was used as the cutoff value, specificity, sensitivity and accuracy rates were 100, 60 and 100%.…”