Urology


        

Case Discussion

rx of early localised prostate cancer   Posted By Jyoti    Date : 14-Jun-08   08:01 AM     Reply

I am a gynaecologist.My father is 73 yrs old,underwent a TURP for BPH. Diagnosed to have well differentiated Ca of prostate, Gleason score 6, 28% tissue involved on HPE. Preop Psa 6.8. He is asymptomatic,Active, no medical problem. According to Latest NICE guidelines Feb 2008, he falls under category of Low risk and the recommended Rx is Active Surveillance. He had been started on hormonal therary - total androgen blockade -- and last PSA is <.o4.MRI and bone scan in april -- NAD. I wish to know the Rx modality that will be right for him , with emphasis on good quality life -- i.e Active surveillance or Radiotherapy -- based on latest guidelines.





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