Prostate Cancer Flashcards
1
Q
Prostate Cancer
A
cancer of prostate
2
Q
RF
A
increasing age
obesity
BRCA gene
3
Q
signs
A
asymptomatic
symptomatic:
haematuria
dribble/void/acute urinary retention
back pain/suprapubic pain
DRE - nodular, enlarged, loss of central culcus
4
Q
when to refer for 2WW
A
abnormal DRE + history
PSA>3
5
Q
investigations
A
multi parametric MRI
results compared with likert scale
> 3 - then do MRI biopsy
CT - stage
isotope bone scan
6
Q
what is the risk stratification based on
A
- CT staging
- PSA
- biopsy results
7
Q
management
A
localised cancer:
active monitoring
prostectomy
advanced:
radiotherapy
hormonal therapy - GnRH agonists
metastatic:
hormonal therapy - GnRH agonists
