An 84-year-old retired musician was seen by his family practice physician for urinary problems.His physician performed a DRE,which was abnormal,ordered a PSA,and referred him to a urologist.The patient's PSA was 12 ng/mL.His transrectal prostatic biopsy was positive.The biopsy specimen determined a Gleason score of 10,and his AUA score was D2.Based on this clinical diagnostic information,what is the best treatment plan for the patient?

Question

Quizplus · Accepted Answer

PSA values greater than 10 ng/mL are highly suggestive of prostatic carcinoma.Gleason scores between 8 and 10 indicate highly aggressive tumors and are associated with a poor prognosis after surgery.An AUA score of stage D2 indicates: (1)metastatic prostatic cancer with pelvic lymph node metastases or ureteral obstruction causing hydronephrosis,or both,and (2)bone,soft tissue,organ,or distant lymph node metastases.Scores between 8 and 10 indicate highly aggressive tumors and are associated with a poor prognosis after surgery.

An 84-Year-Old Retired Musician Was Seen by His Family Practice