T10-2C TRANSRECTAL ULTRASOUND CLINICAL NOTE: This Gentleman Had a Radical Prostatectomy

T10-2C TRANSRECTAL ULTRASOUND
CLINICAL NOTE: This gentleman had a radical prostatectomy by me 6 months ago. His prostate-specific antigen is now 0.1 ng/ml (nanograms per milliliter). He had a repeat prostate-specific antigen a few weeks after this at the VA. This showed an undetectable prostate-specific antigen level. On rectal examination, though, there is a little nodule in the prostatic fossa.
PROCEDURE: Patient was placed in the left lateral position. Ultrasound probe was introduced. The nodule could not be identified by ultrasound. There is no palpable mass. Bladder neck was open. Images were not obtained.
Probe was removed with digital guidance, and nodes were biopsied twice. Patient tolerated the procedure well. I will contact him when results are available.
If the biopsy is benign, I think we will try and write the abnormal prostate-specific antigen off to laboratory error given the fact that he has had a normal one since then. We will schedule him for prostatic-specific antigen and follow-up in 3 months.
PATHOLOGY REPORT LATER INDICATED: Benign prostatic tissue specimen
T10-2C:
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