Case 18-2007 -- A 54-Year-Old Man with Early-Stage Prostate Cancer

doi:10.1056/NEJMcpc079012

Volume 356:2515-2520		June 14, 2007		Number 24

Case 18-2007 — A 54-Year-Old Man with Early-Stage Prostate Cancer

Donald S. Kaufman, M.D., W. Scott McDougal, M.D., Anthony L. Zietman, M.D., and Robert H. Young, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 54-year-old man was seen in consultation at the MultidisciplinaryGenitourinary Clinic of the Cancer Center of this hospital becauseof a recent diagnosis of prostate cancer.

Approximately 3 years earlier, the serum prostate-specific antigen(PSA) level obtained during an annual physical examination was5.2 ng per milliliter. One month later, transrectal ultrasonography-guidedbiopsy of the prostate was performed; pathological examinationshowed no evidence of carcinoma. Repeated PSA testing was performedon multiple occasions thereafter (Table 1). Fourteen monthsbefore the consultation, examination of another ultrasonography-guidedbiopsy specimen of the prostate revealed no evidence of carcinoma.

View this table:

Table 1. Serum Levels . . . [Full Text of this Article]

Discussion of Management

Pathological Discussion

Observation

Selection of Potentially Curative Therapy

Surgery

Radiation

Anatomical Diagnosis

Source Information

From the Departments of Hematology–Oncology (D.S.K.), Urology (W.S.M.), Radiation Oncology (A.L.Z.), and Pathology (R.H.Y.), Massachusetts General Hospital; and the Departments of Medicine (D.S.K.), Urology (W.S.M.), Radiation Oncology (A.L.Z.), and Pathology (R.H.Y.), Harvard Medical School.