Case study step 1

A 70-year-old man presented to his GP with urinary frequency. Digital examination was suggestive of malignancy and he was referred to a urologist

His Serum prostate specific antigen (PSA) was 9.8 micrograms/L. Transrectal biopsy showed Gleason grade 7 adenocarcinoma of the prostate....

Prostate carcinoma is an important health problem in Ireland and the number of new cases in Ireland is increasing. In 1999 there were 1,492 cases as compared to 3,014 in 2010. The number of cases has more than doubled in men between the ages of 55 and 64.¹

Screening for prostate carcinoma is not recommended...

Case study 1

A 65-year-old man presents to his GP with a six-month history of fatigue, nocturia and urgency

Following investigative work-up a diagnosis of locally advanced prostate cancer was made with metastases in regional lymph nodes only (see Figures 1 and 2).

Figure 1 is a coronal image from a...