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Wednesday 6 November 2019

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

Man 45yo  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  sagital view also prostate in small size without abnormal focal lesions 



US 3 elastoscan detected abnormal zone inside prostate  




US 4 sagital elastography mapping one zone with kPa high,  #C50 kPa



Biopsy with TRUS elasto guiding;   report is prostate cancer, classified of Gleason core 7



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

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