reproductive system Flashcards

1
Q

we are back to look at Mr. Heyden today. Since last we saw him, he has had an X ray to determine the cause of his back pain, and his blood test results have come back in. According to the note recorded at radiology: X irradiation of skeleton displays numerous carinomatous metastases in his skull and lumbar vertebrae. The hematology note of interest here reads: PSA levels abnormally high.

A

.

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2
Q

What is carcinoma? What do you suppose is the primary source of the secondary carinoma lesions in his skull and spine?

A

carcinoma if the term for cancer originating from epithelial tissue. The primary source of Mr Heyden’s cancer is most likely to be the prostate.

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3
Q

on what basis did you come to this conclusion?

A

Elevation of PSA levels suggests carcinoma of the prostate. ( In addition, Mr Heyden’s age place him a group that is at relatively higher risk for this type of cancer)

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4
Q

what other tests might be of some diagnostic help here?

A

Digital examination of Mr Heyden’s prostate should be presence of carcinoma in this tissue. In addition, transrectal ultrasound imaging may be used in screening, and carinoma has advanced to the point of metastasis.

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5
Q

what type of therapy do you predict Mr. Heyden will be given to treat his carcinoma? Why?

A

Mr Heyden’s carcinoma has advanced to the point of metastasis. he will probably undergo a treatment that reduces the levels of androgens in this body, as androgens promote growth of the prostate-derived tissue. These treatments could include castration or administration of drugs that block the production and/or effects of androgens

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