Multidisciplinary treatment of synchronous primary rectal and prostate cancers
| Autor: | Lloyd Farinash, Linda Miller, Sandra M Jones, Ralph J. Miller, Athanasios Colonias, Larisa Greenberg, David S. Parda, David S Medich |
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| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Prostate biopsy Antineoplastic Agents Hormonal medicine.medical_treatment Urology Colonoscopy Rectum Adenocarcinoma Diagnosis Differential Neoplasms Multiple Primary Prostate Biopsy medicine Humans Neoplasm Staging medicine.diagnostic_test business.industry Rectal Neoplasms Prostatic Neoplasms General Medicine Rectal examination Middle Aged medicine.disease Combined Modality Therapy Radiation therapy medicine.anatomical_structure Oncology business Gastrointestinal Hemorrhage |
| Zdroj: | Nature clinical practice. Oncology. 2(5) |
| ISSN: | 1743-4254 |
| Popis: | Background A 58-year-old Caucasian man with a history of irritable bowel syndrome and occasional rectal bleeding presented with a 4-week history of progressive, bright red blood per rectum. A digital rectal examination revealed a 3 cm distal, midrectal mass. Laboratory tests showed an elevated serum prostate-specific antigen of 32 ng/ml but other physical and medical examinations were unremarkable. Investigations Digital rectal examination, colonoscopy, rectal mass biopsy, endorectal ultrasound, transrectal ultrasound-guided prostate biopsy, CT scan and MRI. Diagnosis Clinical stage III (T3N1M0), moderately differentiated adenocarcinoma of the rectum and clinical stage II (T1cN0M0) adenocarcinoma of the prostate. Management Intensity-modulated radiation therapy, chemoradiation, chemotherapy, hormone therapy and surgery. |
| Databáze: | OpenAIRE |
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