Prostate Cancer

There are no specific symptoms for prostate cancer & they mimic Benign Prostatic Hyperplasia. Only difference is hard Prostate or Rectal examination with elevated PSA level.

Investigations Prostate Cancer

• Serum PSA level more than 2.5 ng/dl.
• Standard twelve core TRUS biopsy.
• Multiparametric MRI pelvis with PIRADS -II scoring.
• Contrast CT scan abdo + pelvis for visceral metastasis.
• Chest x ray or HRCT diagnosis, staging and chest for lung metastasis.
• PSMA PET scan for follow up.
• Bone scan
• MRI spine if suspected spinal cord compression.

Treatment of Prostate Cancer

• Surgery - Open, laproscopic or robotic radical prostatectomy.
• Active surveillance in low risk patients.
• Immunotherapy in castration or harmone resistant cases.
• Harmonal therapy directed to reduce androgen level and their effect GnRH analogue Antiandrogen synthesis inhibitor - docetaxel.
• Chemotherapy in advanced and metastatic cases.
• Radiation therapy.