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CT scan of abdomen shows prostate megaly without focal lesions, mild thickening of bladder walls, lymphnodes along iliac vessel. Treatment?

Sir, My father aged 72 developed uirnary troubles due to prostate enlargement and PSA reading of 36.The lower abdomen CT findings are 1.Prostate megaly with no focal lession,normal periprostatic facial planes appearing clear,bilateral obturator internmus muscle normal, no free fluid in abdomen, mild thinkening of bladder walls and small 6 to 8 mm lymphnodes along bilateral internal iliac vessel. Sir, with the above findings of CT and PSA kindly access the status and scope of treatment. Does LYMPHNODES suggest any dissemenation .
Asked On : Tue, 20 Nov 2012
Answers:  2 Views:  164
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Nephrologist 's  Response
Thanks for your query
If your father has enlarged prostate and a high PSA he should see a urologist. The urologist may advice biopsy to decide if there is a tumour or if its a benign enlargement. Further treatment will be as per the diagnosis.
Good luck
Answered: Thu, 22 Nov 2012
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Urologist Dr. G.Srinivasan's  Response
Welcome to HCM.
I do agree with Dr Aditya on the line of approach.
If the PSA is this high, the next step would be to do a prostate biopsy.
If the result comes out as cancer, treatment options will be discussed regarding medical vs. surgical treatment.
If the result is not cancerous, repeat PSA is needed and if still high, biopsy may need to be repeated.
PSA of 36 means that the disease has spread beyond the organ and the lymph nodes may mean spread of the disease.
Pls consult a urologist asap for further action.
Wishing him good health.
Answered: Thu, 22 Nov 2012
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