00:01
Okay, this question here says the patient is a 74 year old man who underwent a turp, well in this case turp means transurethral resection of the prostate, okay, for bph, that is benign prostatic hyperplasia, six years ago and now has obstructive urinary symptoms with a large post -void residual.
00:21
On dre, that is states for digital rectal exam, his prostate gland was found to be large, bulky and nodular with palpable extension to the left seminal vesicle, his psa level was 15 ng per ml, per ml that is practically increased, okay, and a bone scan was negative.
00:53
It says a ct scan revealed bilateral external iliac adenopathy with lymph nodes measuring 1 .5 cm on average, it says that normally lymph node size is less than 1 cm, so practically the lymph nodes are also increasing in size.
01:11
In a prostatic biopsy revealed adenocarcinoma, so this patient has adenocarcinoma of the prostate or prostate adenocarcinoma.
01:26
Now it says this patient most likely has a stage or has at least a stage 3 n plus disease, that means that extension into the seminal vesicles and lymph node metastasis, recommendation is antitestosterone hormonal drug treatment...