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| Physical Exam | 03/08/XX |
70 year old man with history of benign prostatic hypertrophy (BPH) and urinary retention, has recent history of soreness in groin, low back pain and weight loss. DRE: Normal rectal tone. Enlarged nodular prostate with minimal induration. |
| X-Rays & Scans | 03/20/XX |
Bone scan: Generalized whole body skeletal metastases. Hip knee and ankle: Extensive bone mets in entire pelvis, right and left proximal femurs. Chest: Patchy areas of asbestos-like scarring, consistent with prior films. |
| Laboratory | 03/08/XX |
PSA level 120 (0-4.0 ng/ml) |
| Scopes | 03/10/XX | Cystoscopy: Bladder was without masses or stones. |
| Surgical Findings | 03/10/XX |
TURP: Resection included significant tissue from the anterior lobe of the prostate. |
| Pathological Reports | 03/10/XX |
TURP: Prostate chips - Adenocarcinoma, prostate. Moderately to poorly differentiated, Gleason’s score 5+5=10. Carcinoma involves every fragment. |
| 05/15/XX | Orchiectomy: R and L testis: no tumor identified. | |
| Treatment | 03/10/XX | Surgery: Transurethral resection of prostate (TURP). |
| 03/25/XX | Hormone: Casodex | |
| 05/15/XX | Hormone: Bilateral simple orchiectomy | |
