|
|||
| |||||||||||||||||||||||||||||||||||||||
A 63-year-old man was evaluated in the clinic because of metastatic prostate cancer that was no longer responding to hormone therapy.
The patient had been well until eight years before he came to the clinic, when he had noticed a decreased urinary stream and urinary hesitancy. A test for prostate-specific antigen (PSA) six months later showed a level of 2.7 ng per milliliter; six months after that, the PSA level was 7.7 ng per milliliter. A transrectal needle biopsy of the prostate showed adenocarcinoma, Gleason grade 3 to 4 (on a scale of 1 to 5, with 1 indicating low-grade
Discussion of Management
Management of Localized Prostate Cancer
Radical Prostatectomy
Radiation Therapy
Management of Locally Advanced Prostate Cancer
Radiation Therapy
Hormonal Therapy
Chemotherapy
Anatomical Diagnosis
Source Information
From the Division of Medical Oncology, Department of Medicine (D.S.K.), and the Departments of Urology (W.S.M.), Radiation Oncology (A.L.Z.), Radiology (M.G.H.), 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.), Radiology (M.G.H.), and Pathology (R.H.Y.), Harvard Medical School.
This article has been cited by other articles:
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved. |