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Case Presentation

Case Presentation. HKC 1392. A 78 y/o man obstructive symptoms Flank pain(_) Gross hematuria (-). LUTS(+). Past history Open prostatectomy 1389/4/27 in Rasoul Akram Hosp. Negative for malignancy. Physical examination Normal

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Case Presentation

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Presentation Transcript

  1. Case Presentation • HKC 1392

  2. A 78 y/o man • obstructive symptoms • Flank pain(_) • Gross hematuria(-). • LUTS(+)

  3. Past history • Open prostatectomy 1389/4/27 in RasoulAkram Hosp. Negative for malignancy

  4. Physical examination • Normal • DRE:+ 1> /Firm/symmetric/without nodule

  5. Lab data: 1389/8 • Cr:1.2 • PSA: 41

  6. TRUS GUIDED BIOPSY:1389/9/27 Adenocarsinom of prostate Rt&Lt base : 4+4 , 4+3 (80% , 40%) Rt&Lt upper- mid : 3+4 , 3+4 (90% , 70%) Rt&Lt lower- mid : 4+4 , 4+4 (80% , 70%) Rt apex : 4+3 ( 50%) Lt apex: benign proststic tissue PNI (+) Extra prostate (-)

  7. Bone scan • Multiple bone metastases

  8. Medical therapy • DIPHERELIN therapy since 1389/8 monthly & FLUTAMIDE since 1391/10

  9. Thanks for Attention

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