MEDRADSC 3C03 Lecture Notes - Lecture 13: Biopsy, Catheter, Anatomy Of The Cerebellum
18 Jun 2018
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Prostate Cancer
Prostate Ca detected in 1/3 men during autopsy
1 in 7 over 70
Prostatic specific agent (PSA)- 4 ng/mL is the normal range
oCells in prostate secrete PSA
oPSA over 10ng/mL suspicious, but could be BPH because we’re just talking about more
cells= more secretion
oBPH can mimic prostate Ca
Transrectal exam (TRE) by GP (digital): can only feel posterior, usually where the nodules are
oIf positive: pts sent for prostate biopsy with transrectal US for proximity
find more resources at oneclass.com
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oGleason Score/Sum grades cancer 1-5 but 1 and 2 look normal
2 of the samples that are graded are added together
10 is the highest score= cancer spread past prostate
2-5 is the lowest grade, 5-7 intermediate and where most grades are recorded
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Prostate ca detected in 1/3 men during autopsy. Prostatic specific agent (psa)- 4 ng/ml is the normal range: cells in prostate secrete psa, psa over 10ng/ml suspicious, but could be bph because we"re just talking about more cells= more secretion, bph can mimic prostate ca. Transrectal exam (tre) by gp (digital): can only feel posterior, usually where the nodules are: if positive: pts sent for prostate biopsy with transrectal us for proximity, gleason score/sum grades cancer 1-5 but 1 and 2 look normal. 2 of the samples that are graded are added together. 10 is the highest score= cancer spread past prostate. 2-5 is the lowest grade, 5-7 intermediate and where most grades are recorded. Antibiotics 3 day dose: ciproflaxacin 500 mg started the day before and continues 3 days after. No blood thinners for 10 days prior. Fleet enema on arrival (really fast acting, usually by nurse, squirt bottle up rectum)
