Please Advise Your Thoughts I Am 75 Old Year Male Recently Diagnosed With Grade 2 Adenocarcinoma

Posted on Tue, 18 Apr 2023

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 18 Apr 2023 Answered on

Wed, 3 Jul 2024 Last reviewed on

Question :
I am 75 old year male recently diagnosed with Grade 2 Adenocarcinoma, XXXXXXX score (3+4=7), 65-70% involvement of cores, 20% of component 4. PSA 14.7. Not measured prior to this but in last 12 years has had two TURPs. Has severe LUTS as measured by flow (IPSS score of 24) and symptoms (highly frequent urination, needs to use abdominal muscles). Otherwise healthy with controlled blood pressure for decades.

PET shows PSMA expressing locally advanced mitotic mass involving prostate and loss of regional fat planes with bladder and rectum and suspicion of contiguous involvement of confluence of seminal vesicles. MR recommended for better evaluation of locoregional extent of primary disease. No evidence of locoregional lymphadenopathy or distant metastases.
Please advise your thoughts.

Answered by Dr. Dr. Esmeralda Sera (46 hours later)

Brief Answer:
MRI

Detailed Answer:
Hello and thank you for asking

Could you please download the PET and MRI reports;

Best regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Esmeralda Sera (42 hours later)

The reports are attached. Thanks.

Answered by Dr. Dr. Esmeralda Sera (6 hours later)

Brief Answer:
MRI

Detailed Answer:
I have been carefully through your reports.

MRI shows the probability of infiltration from malignancy, due to your history of prostate cancer,in my opinion this is relapse of disease.

Your oncologist will give you the option of treatments that you have in your case.

Please keep me updated

Best regards

Above answer was peer-reviewed by : Dr. Raju A.T