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What Does This MRI Report Indicate?

Posted on Tue, 10 Jan 2017

Question: Hi My uncle has been diagnosed with adenocarcinoma of Prostrate MRI report is attached herewith
please check MRI report.
Biposy has shown 80 to 90 % tumour in prostrate.
also gleison score in biopsy has come as 9

Answered by Dr. Deepak Sundriyal (21 minutes later)

Brief Answer:
Hello dear. Further details are required

Detailed Answer:
Hello dear. I have gone through the details. I require further information. Please tell me his psa levels. Moreover, he require eithet a bone scan or a petct to complete the staging workup. Only after these reports we can plan a treatment.
Please revert back with reports.
Thanks and regards

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Deepak Sundriyal (1 hour later)

AS per your requirement below is the details
PSA level is 8.67
MRI shows no metastasis.
also bone scan is not availble in XXXXXXX J&K XXXXXXX as per my understanding
without bone scan you may not start treatment keeping into account non availibility of BoneScan in XXXXXXX what further you suggest any outside institute where we may further go for treatment.

Answered by Dr. Deepak Sundriyal (1 hour later)

Brief Answer:
Hello dear. A Bone scan should be done

Detailed Answer:
Hello dear. either a bone scan or a petscan is must as treatment will differ in a localised disease and metastatic disease. If it is localised, then radiation therapy plus orchiectomy(removal of testes) or surgery can be a reasonable treatment option. I fit is metastatic disease then orchiectomy plus chemotherapy will be the treatment.
Thanks and regards

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Deepak Sundriyal (11 minutes later)

which hospital/doctor do you recommend for further treatment.

Answered by Dr. Deepak Sundriyal (8 minutes later)

Brief Answer:
Hello dear. You can visit any oncology centre

Detailed Answer:
Hello dear. You can visit any good oncology centre in XXXXXXX like XXXXXXX Patparganj, XXXXXXX XXXXXXX cancer institute.
Thanks and regards

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng