Prostate Cancer
Epidemiology
NOTE: Sentinel node --> pelvic (NOT groin!)
Management
Source
Dr Kathryn Gilliam 2014
- Most common Ca in men
- 3-4% of men die of prostate ca
- Age
- Fhx
- Afro-Caribbeans in USA (Genetic predisposition triggered by environment)
- Similar to BPH (FUN WISE)
- PSA
- Biopsy (Gleason score)
- Bone scan (mets)
- MRI (if high grade on biopsy and everyone pre-surg)
NOTE: Sentinel node --> pelvic (NOT groin!)
Management
- Low grade: Watchful waiting/ active surveillance
- High grade: radical prostatectomy/ radical DXT
- DXT for bony pain
- Mets: Hormonal rx
- TURP for obstructive sx
Source
Dr Kathryn Gilliam 2014