Posted in Genitourinary on May 19, 2014 by m.khodeer
No history
Post therapy
What has been done here?
Prostate Cancer
- Represents 18% of all cancers in the US
- Second most common cause of cancer death in men in the US (According to the Primer, 3rd )
- Incidence increases with age
- BPH does not predispose to cancer
- Origin: Most occur in outer gland (posterior and peripheral) 70% Inner gland tumors are 30%
- Prostate Specific Antigen: elevated in cancer. Normal is 2-4 Units
Prostate Cancer, Staging (Jewett System)
- Stage A: non palpable tumor at biopsy (radical prostatectomy), A1=well differentiated, A2=poorly differentiated
- Stage B: palpable tumor, confined to prostate (radical prostatectomy)
- Stage C: extension through prostatic capsule but no mets (radiation tx)
- Stage D: metastases (hormonal therapy, rad tx, chemotherapy)
Other tx: Brachytherapy (Radiation Seed Placement)
- Used for localized prostate cancer. Can be performed as an alternative to External Beam Radiation Therapy or prostatectomy
- Multiple types of implants can be used including: Ir-192, Cs-137, I-125, Pd-103
- Contraindications: TURP, public arch interference, Obstructive symptoms, Morbid Obesity
Further examples
Teaching Files
