CARCINOMA PROSTATE History & Management
27.07.07 Prof.R.P.Rajan performed bilateral orchidectomy
Prescribed Calutide-50 for 100% androgen blockade-18.08.07 to 08.1.08 (5Months)
*Calcium-shellcal-1000mg/day suggested from 04.01.08 -
08.07.10 SCAN-Prostatomegaly-enlarged-35.4cc45x38x39mms/Post void urine in bladder.Vol-115ml.-Significance
09.07.10-Calutide-50 re administered
11/10/10 Vijaya: 4.5ml/sec -60% Ostructive flow & prolonged voiding
To avoid surgery (Channel TURP) now taking (Dutas-T a combipack of Dutasteride (0.5mg) & Tamsulosin Hydrochloride (0.4mg)
PSA monitoring:
14.07.07 Bha 92.19
01.10.07 Bha 0.30
04.01.08 Bha 0.17
29.02.08 Lis 0.20
10.06.08 JVH 0.2ng
05.09.08 Bha 0.208
03.12.08 -do- 0.260
07.03.09 -do- 0.256
05.06.09 -do- 0.363
04.09.09 Bha 0.762
06.12.09 -do- 1.069
03.03.10 -do- 1.745
04.06.10 Lister 2.35
10/08/10 Lister 2.05
06/10/10 Lister 1.98 Free PSA 0.28
20/10/10 -do- Liver & Kidney function tests-Normal values
PROBLEMS ENCOUNTERED
08.07.10 KUB SCAN revealed-Prostatomegaly-enlarged-35.4cc45x38x39mms
Post void urine in bladder.Vol-115ml.-Significance
09.07.10 Calutide-50 re administered
07/10/10 DRE : Hard nodule in R lobe- Advised Uroflow & LFT tests
11/10/10 Vijaya: 4.5ml/sec -60% Obstructive flow & prolonged voiding
Urologist advised Channel TUR(P) & prescribed Cap. DUTAS-T for 10days.
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