SEER Training Modules
Case #5
Physical Exam
The patient is a 63-year-old male with normal physical exam. Digital rectal exam showed a 1+ enlarged prostate with normal seminal vesicles.
Imaging
9/1/04
Chest x-ray within normal limits.
9/1/04
CT Scan of abdomen and pelvis showed no metastatic disease.
Laboratory
8/24/04
SMA 20: within normal limits
8/24/04
PSA elevated at 14.6
Surgical Observations
9/3/04
US guided sextant biopsy of the prostate.
Pathological Report
9/3/04
Left apex: adenocarcinoma, moderately differentiated (estimated Gleason’s score 3+2=5/10). Maximum linear extent in apex of tumor was 6 mm. Left mid region prostate: mod-diff adenocarcinoma, Gleason’s 3=2=5/10. Left base, right apex, right mid-region and right base: negative for tumor.
Treatment
Patient opted for interstitial prostatic implants of I-125 which were performed as an outpatient.
