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Please Advise Your Thoughts I Am 75 Old Year Male Recently Diagnosed With Grade 2 Adenocarcinoma
Question:
I am 75 old year male recently diagnosed with Grade 2 Adenocarcinoma, XXXXXXX score (3+4=7), 65-70% involvement of cores, 20% of component 4. PSA 14.7. Not measured prior to this but in last 12 years has had two TURPs. Has severe LUTS as measured by flow (IPSS score of 24) and symptoms (highly frequent urination, needs to use abdominal muscles). Otherwise healthy with controlled blood pressure for decades.
PET shows PSMA expressing locally advanced mitotic mass involving prostate and loss of regional fat planes with bladder and rectum and suspicion of contiguous involvement of confluence of seminal vesicles. MR recommended for better evaluation of locoregional extent of primary disease. No evidence of locoregional lymphadenopathy or distant metastases.
Please advise your thoughts.
I am 75 old year male recently diagnosed with Grade 2 Adenocarcinoma, XXXXXXX score (3+4=7), 65-70% involvement of cores, 20% of component 4. PSA 14.7. Not measured prior to this but in last 12 years has had two TURPs. Has severe LUTS as measured by flow (IPSS score of 24) and symptoms (highly frequent urination, needs to use abdominal muscles). Otherwise healthy with controlled blood pressure for decades.
PET shows PSMA expressing locally advanced mitotic mass involving prostate and loss of regional fat planes with bladder and rectum and suspicion of contiguous involvement of confluence of seminal vesicles. MR recommended for better evaluation of locoregional extent of primary disease. No evidence of locoregional lymphadenopathy or distant metastases.
Please advise your thoughts.
Brief Answer:
MRI
Detailed Answer:
Hello and thank you for asking
Could you please download the PET and MRI reports;
Best regards
MRI
Detailed Answer:
Hello and thank you for asking
Could you please download the PET and MRI reports;
Best regards
Above answer was peer-reviewed by :
Dr. Kampana
The reports are attached. Thanks.
Brief Answer:
MRI
Detailed Answer:
I have been carefully through your reports.
MRI shows the probability of infiltration from malignancy, due to your history of prostate cancer,in my opinion this is relapse of disease.
Your oncologist will give you the option of treatments that you have in your case.
Please keep me updated
Best regards
MRI
Detailed Answer:
I have been carefully through your reports.
MRI shows the probability of infiltration from malignancy, due to your history of prostate cancer,in my opinion this is relapse of disease.
Your oncologist will give you the option of treatments that you have in your case.
Please keep me updated
Best regards
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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