Case 4 A 42-year old banker was encouraged to go for a PSA test by his brother w

ID: 3484157 • Letter: C

Question

Case 4

A 42-year old banker was encouraged to go for a PSA test by his brother who was diagnosed with prostate cancer at 48.

Results: PSA level: 5.6ng/mL

Digital exam: asymmetrically firm prostate on the right

Ultrasound: prostate volume of 32 cc; Bone scan: no evidence of metastasis

Case 4 Question 1: What does PSA stand for? ______ ______ ______

Case 4 Question 2: What anatomical structure is in a convenient location for digital examination of the prostate?

Case 4 Question 3: What other tests (besides digital exam and PSA screening) should be included in a prostate diagnosis?

Case 4 Question 4: Why is a bone scan used to test for metastasis in a case like this?

1. PSA stands for prostate specific antigen.

2. Rectal examination is a convenient location for digital examination of the prostate.

3. Transrectal examination and prostate biopsy is used for prostate diagnosis.

4. Prostate cancer metastasize to bone so bone scan is important. It leads to bone pain.

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