Prostate

Question 1

what is the normal PSA

Answer 1

<4 ng /mL

Question 2

Histology of prosate cancer

Answer 2

adenocarcinoma

Question 3

Can stage 1 lesions detected on a rectal exam ?

Answer 3

no

Question 4

What stage lesion is goes into the seminal vesicles

Answer 4

stage III

Question 5

What stage lesion involves the bladder and rectum

Answer 5

Stage IV

Question 6

T/F prostate cancer is a slow growing disease

Answer 6

true

Question 7

T/F According to the NCA observation is a valid alternative to tx for patients with TI-T2 stage tumors

Answer 7

True

Question 8

T/F radical prostatectomy is a viable option for stage T3 disease

Answer 8

F. radical prostatectomy alone is not efficient for disease control - will also need hormone therapy or radiation therapy

Question 9

Antiandrogens

Answer 9

Block testosterone

Question 10

What are the parameters for CT sim of prostate?s

Answer 10

scan below diaphragm and mid femur.

Question 11

Name 2 risk factors for Prostate Cancer

Answer 11

1. over 55, 2. african american

Question 12

Name 2 symptoms of Prostate Cancer

Answer 12

1. decreased urination, Frequency, Hematuria

Question 13

List the lymphatics of prostate

Answer 13

obturator - external iliac, hypogastric (internal iliac), common iliac, para aortic

Question 14

What is the dose for IMRT, WHat is the dose for brachytherapy?

Answer 14

IMRT - 78-79 Gy. Brachytherapy - 145 Gy

Question 15

In the adult male, urinary tract problems often result from enlargement of the _____gland - which surrounds the urethra

Answer 15

prostate

Question 16

After spermatogenesis has occurred, the immature sperm passes into the ______for their maturation.

Answer 16

epididymis

Question 17

label

Answer 17

bladder, prostate, urethra, prostate base, prostate apex

Question 18

where does prostate met to?

Answer 18

bone

Question 19

How is prostate cancer graded

Answer 19

gleeson scores. graded fro 1 to 5 (5 being the worst prognosis). the 2 worst grades are added together to make up Gleason score

Question 20

elevated PSA after tx may indicate:

Answer 20

recurrence of tumor

Question 21

What anatomic position are patients in for HDR, LDR procedures

Answer 21

lithotomy position

Question 22

Epidemiology : 1 in ______men will get prostate cancer in their lifetime

Answer 22

8 men

Question 23

how are the seminal vesicles positioned in relation to the prostate?

Answer 23

superior to the prostate and angled posterior toward the rectum

Question 24

most prostate cancers are found in the __of the prostate

Answer 24

peripheral

Question 25

As men age - prostate hyperplasia (enlargement of the prostate) occurs in the_______aspect of the prostate.

Answer 25

central zone

Question 26

anatomy: the prostate lies________to the pubic symphysis.

Answer 26

posterior

Question 27

histology of prostate cancer

Answer 27

adenocarcinoma

Question 28

what indicates the Grade of prostate cancer?

Answer 28

Gleason score

Question 29

WHat organs does prostate cancer spread directly to?

Answer 29

seminal vesicles, bladder and rectum

Question 30

lymphatic drainage of prostate cancer include:

Answer 30

obturator nodes, hypogastric nodes (internal iliac). external iliac, and external iliac

Question 31

Distantly prostate spreads to the ____

Answer 31

bone

Question 32

name 2 androgen deprivation drugs

Answer 32

casadex, lupron

Question 33

typical dose for ARC therapy or IMRT to Prostate

Answer 33

78 Gy

Question 34

Organs at risk when treating prostate

Answer 34

rectum, bladder, femoral heads

Question 35

common isotopes used for prostate brachytherapy

Answer 35

I-125, Pd -103

Question 36

What is the function of the prostate?

Answer 36

primary function is to produce fluid that nourishes And transports sperm

Question 37

At what age should men have a routine blood test to determine PSA?

Answer 37

Age 50