Friday, June 01, 2012
Tuesday, October 18, 2011 sefi asks

Q: My father has prostate cancer and he has gleason grade 10 and PSA 22 and he did MRI which shows following info:

Prostate is enlarged in size measuring 5.4 AP X 5.9 CC X 5.0 Tr cm. Altered intensity nodular lesion appearing hypointense on T2W images measuring (3.2 X 4.0) cm is seen involving peripheral zone of right lobe of prostate extending involving the adjoining central gland and reaching upto the apex with loss of zonal differentiation and infiltration of bilateral seminal vesicle. Focal capsular bulge is seen along right lateral aspect and also along midline posteriorly with infiltration of retroprostatic fat and the mesorectal fascia and focally abutting the anterior rectal wall. Urinary bladder reveals normal morphology and normal hypointensity of bladder wall in T2W images. Perivesical planes are normal morphology and normal hypointensity of bladder wall in T2W images. Perivesical planes are normal. Pelvic floor and presacral spaces are normal. Regional lymphnodes: subcentimeter size bilateral external iliac nodes are seen. No free fluid is seen. Major pelvic vessels show normal flow void. Bony pelvis is unremarkable. SO doctor told him that he should go thro surgery. But doc has given Zoladex to him and told him to come back after 3 month for operation.My father is 70yrs old.SO is it the right process to go thro it? will he be in good condition after operation ? I WILL BE HAPPY TO GET YOUR ANSWERS.
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Jay Motola, Health Pro
11/30/11 8:48pm

It appears that the disease has spread outside the prostate into the seminal vesicles. The Zoladex is being used to downstage the tumor and perhaps help to insure negative margins at the time of possible surgery. Radiation therapy can also be considered as a means of effective treatment.

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By sefi— Last Modified: 11/30/11, First Published: 10/18/11