Flashcards in Prostate Colloquia Deck (14)
prostatic fluid does what?
break down viscous semen to aid in fertilization
most significant risk factor for prostate Ca?
FHx (1st degree relatives)
FHx of breast cancer as well (BRCA1 + 2)
If you have high PSA, how to interpret with more tests?
Free to total ratio
If low ratio: cancer
if high ratio: not cancer
Prostate Health Index: Pro2 PSA
Trend of increasing
risks for trans-rectal biopsy?
sepsis, gram -ve
active surveillance means what?
Sees them regularly with intent to cure
watchful waiting is what?
watch the patient but with non-curative intent
PSA goes up for what?
Gleason Score explain:
architectural for the glands
1-5 for most common cells
1-5 for second more common cells
Gleason score starts where?
6 out of 10
what's an important PSA trend to consider?
PSA doubling time
what is ADT? when do you do it?
androgen deprivation therapy
ADT side effects?
cardio vascular disease - hypercholeserolemia, IHD
lethargy, reduction in libido
when use chemo in prostate metastatic disease?
in conjunction with ADT