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Wednesday, 6 November 2019

CASE 572: PROSTATE CANCER, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Man 45 yo  with pain at sternum. SPECT bone scan detected multiple bone lesions ( spect photo).



Ultrasound at sternum detects osteolytic lesions. 


Blood test PSA rises 92 ng/mL

Transabdominal Ultrasound of prostate  US 1   section  prostate in small size 



US 2  sagittal view also prostate in small size without abnormal focal lesions 



US 3 elastoscan detected abnormal zone inside prostate  




US 4 sagittal elastography mapping one zone with kPa high,  #50kPa



Biopsy with TRUS elasto guide;   report is prostate cancer classified Gleason core 7



Summary=  US elastoscanning of prostate guide for biopsy is more accuracy than conventional TRUS guide alone.

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