ca prostate.pptx
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The patient presented with urinary symptoms including frequent urination, nocturia, and a poor urine stream for the past 3 months. Examination found an enlarged, hard prostate gland. Testing showed an elevated PSA level of 80.38 ng/dL. Imaging revealed an enlarged prostate invading the bladder neck and surrounding structures, along with enlarged lymph nodes and bone metastases. A biopsy confirmed adenocarcinoma of the prostate with a Gleason score of 7.
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- 1. • History • c/o frequency, nocturia, poor stream, intermittency x 3 months. • No hematuria, lithuria/fever with rigor and chills. • No h/o any fractures. • No h/o loss of weight.
- 2. • Past History: No h/o DM,HTN,CAD/COPD /Seizures. No h/o drug allergies. • No previous surgeries. • Family history : • No h/o any urological malignancies in the family.
- 3. • On Examination : • Pulse rate- 80/min, BP- 130/80 mm Hg • P/A : Soft , non tender. LE: Meatus- normal phallus- normal. B/L testes & cords : normal. • DRE: grade II prostate, hard consistency, non nodular, non tender.
- 4. CNS: Patient is conscious, co-operative and well oriented to time, place and person. - CVS: S1, S2 normal - RS: AEBE
- 5. Investigations Hb 14.4 RBS 115 HIV Negative TC 8500 RFT 24/1.4 HBsAg Negative PLT 3.27 SE 135/4.4 HCV Negative URE ALBUMIN-Trace ,sugar-nil RBC- nil PUS CELL-2-4/hp PSA 80.38 ng/dL VDRL Negative
- 6. USG abdomen (04/08/22): • Bilateral kidney normal in size, shape, with maintained CMD, increased echotexture. • Urinary bladder partially distended. • Prostate- 28cc, heterogeneous parenchyma with infiltration of bladder neck & apex. • Multiple enlarged retroperitoneal and left iliac lymphnodes.
- 7. MRI PROSTATE (03/03/23): • Prostate- aperas bulky, volume measuring 3.3*3.8*3.8 cm involving PZ with extension to CZ & TZ, superiorly into bladder neck, posterolaterally ECE into NVB. • Multiple enlarged lymph nodes in b/l internal iliac, ext. & common iliac & para aortric region • Mets. Infiltration to pelvic & lower lumbosacral bones.
- 8. HPE (13/2/23) : • Adenocarcinoma prostate , score 3+4=7