Riassunto
Un vecchio adagio medico dice che i migliori strumenti diagnostici sono un’accurata anamnesi e un esame obiettivo minuzioso, e che l’uso più appropriato dell’imaging e degli esami di laboratorio selettivi serve a conferma della diagnosi clinica. Un altro metodo consiste nel prescrivere un gran numero di test ematici di screening, di MRI total-body, ecc., ma un simile approccio può portare a falsi risultati, i quali, a loro volta, potranno condurre a indagini costose, talvolta sgradevoli e potenzialmente a rischio per il paziente e che possono non essere necessarie. Tuttavia, a causa delle sempre più raffinate conoscenze nell’ambito della medicina molecolare, i test ematochimici giocheranno probabilmente un ruolo maggiore sia per la diagnosi che per lo screening, utilizzando nuove tecniche molecolari come lo screening dei geni e delle proteine, in particolare in alcuni gruppi a rischio. In questo capitolo viene messo l’accento sull’anamnesi e sull’esame clinico classici per i problemi andrologici più comuni.
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Hargreave, T.B. et al. (2010). Strumenti diagnostici. In: Schill, WB., Comhaire, F., Hargreave, T.B., Lenzi, A., Isidori, A.M. (eds) Andrologia clinica. Springer, Milano. https://doi.org/10.1007/978-88-470-1487-9_20
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