SEER Logo

SEER Training Modules

Case #5

Click an information source below to view the case history.

Expand 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.

Expand X-Rays & Scans

12/15/XX

Chest: Negative. Bone scan and CT abd/pelvis: Negative.

Expand Laboratory

11/12/XX

PSA: slightly elevated. Alk phos: 126 (normal 69 - 241).

Expand Scopes

See Surgical Findings

Expand 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.

Expand 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.

Expand Treatment

01/10/XX

Hormone : Began Lupron injections