Page 6 - PRESENTATION
P. 6

2011 – Charles is 65 years old











                                                                                                                            Initial Presentation





                                                                                                                            • 65-year-old patient initially presented in 2011 with screening


                                                                                                                                 PSA of 12





                                                                                                                            • PMHx: Hypertension (well-controlled), chronic low back pain
                                      CHARLES




                                                  IS A                                                                      • No family history of prostate/breast/ovarian cancer





                                   “ROUTINE”                                                                                • DRE: normal, no nodules




                                 TYPE OF PC                                                                                 • TRUS biopsy: Gleason 4+3 adenoCa in 10/12 cores, cribriform




                                         PATIENT                                                                                 pattern seen


                                                                                                                            • Staging:



                                                                                                                                       • 99Tc whole body bone scintigraphy: negative for active osseous

                                                                                                                                            metastatic disease


                                                                                                                                       • CT chest/abdomen/pelvis: negative for soft tissue/visceral/osseous

                    Charles is a “routine” type                                                                                             metastatic disease



                                      of PC patient








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