Clinical presenation of PCa Flashcards

1
Q

Localized disease

A

asymptomatic

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2
Q

Locally invasive disease

A
  • ureteral dysfunction
  • frequency
  • hestiancy
  • dribbling
  • impotence
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3
Q

Advanced disease

A
  • Back pai
  • cord compression
  • lower extremity oedema
  • pathological fractures
  • anemia
  • weight loss
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4
Q

Initial tests

A

DRE
PSA
TRUS - if either DRE + / PSA elevated
Biopsy

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5
Q

Staging tests

A
Gleason score on biopsy specimen 
bone scan 
CBC
LFT
Serum phosphataste - acid/ alkaline 
excretory urography 
chest X-ray
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6
Q

Additional staging tests depend on tumour classification, PSA + gleason score

A

skeletal films
lymph node evaluation
pevlic CT
bipedal lymphangiogram

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