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Prostate Cancer (Expert Forum)
Advanced prostate cancer
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
Advanced prostate cancer
by Senna12, May 29, 2007 12:00AM
Dear Dr.
I am a medical doctor who is talking to you regarding my father , I will enclose full patient history :
- 73 years old non diabetic , hypertensive with diagnosis of prostate adenocarcinoma .Gleason score 7 , metastasis to pelvis LNs, 2 groups affected .
- Treated with orchiectomy with drop of PSA levels , then rose again and used hormone therapy ( Zoladex, casodex, lupron and luflutanide ) with good effcts initially then PSA started to rise again . Current level is 60 .
- His prostate has grown extensively and blocked both ureters, Rt kidney developed hydronephrosis , Let kidney was managed initially with stent (double J ) which was changing every 3 months . He developed frank hematuria wich necessiated removal of stent and currently on Lt nephrostomy .
I just wanted to explore the chances and treatment options at this stage . He is currently complaining of few painful drops of blood per urethra daily with intractable pain while dropping this blood everyday .Kidney functions are normal .
I appreicate your reply and IF possible if you could let me know thae name of few research insttutes that can adopt his case.
regards
I am a medical doctor who is talking to you regarding my father , I will enclose full patient history :
- 73 years old non diabetic , hypertensive with diagnosis of prostate adenocarcinoma .Gleason score 7 , metastasis to pelvis LNs, 2 groups affected .
- Treated with orchiectomy with drop of PSA levels , then rose again and used hormone therapy ( Zoladex, casodex, lupron and luflutanide ) with good effcts initially then PSA started to rise again . Current level is 60 .
- His prostate has grown extensively and blocked both ureters, Rt kidney developed hydronephrosis , Let kidney was managed initially with stent (double J ) which was changing every 3 months . He developed frank hematuria wich necessiated removal of stent and currently on Lt nephrostomy .
I just wanted to explore the chances and treatment options at this stage . He is currently complaining of few painful drops of blood per urethra daily with intractable pain while dropping this blood everyday .Kidney functions are normal .
I appreicate your reply and IF possible if you could let me know thae name of few research insttutes that can adopt his case.
regards
Doctor's Answer
by Ash Tewari, MD, M.Ch., May 29, 2007 12:00AM
, May 29, 2007 12:00AM
I am sorry to hear that your father is having intractable pain.
You could try contacting any cancer center which is closest to where your father stays.
You could try contacting any cancer center which is closest to where your father stays.
