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| Physical Exam | 11/12/XX |
69 year old man has complaints of slow stream and nocturia. Prostate: 2+ enlarged. Left lobe is irregular at apex. |
| X-Rays & Scans | 12/15/XX |
Chest: Negative. Bone scan and CT abd/pelvis: Negative. |
| Laboratory | 11/12/XX |
PSA: slightly elevated. Alk phos: 126 (normal 69 - 241). |
| Scopes | See Surgical Findings | |
| Surgical Findings | 01/07/XX |
Pelvic LN dissection. No gross extension beyond prostate, normal spermatic cords. Planned radical prostatectomy cancelled --frozen section positive for lymph node metastasis. |
| Pathological Reports | 11/12/XX |
Biopsy: Adenocarcinoma of prostate, Gleason 7/10. |
01/07/XX |
Pelvic lymph node dissection: Right obturator LN metastatic adenocarcinoma in 1/8 nodes; left obturator LN metastatic adenocarcinoma in 3/9 nodes. | |
| Treatment | 01/10/XX |
Hormone : Began Lupron injections |
