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Case #4 -
A 64 year old with elevated prostate specific antigen (PSA) value

DISCUSSION QUESTIONS:
1.) What further history is needed in this patient?  Answer 
2.) What is the normal value for PSA?  Answer 
3.) Are there other causes of elevated PSA?  Answer 
4.) What are the current screening recommendations for carcinoma of the prostate?  Answer 
5.) What should now be done for this patient?  Answer 
6.) What is the Gleason scoring system for pathology of prostatic cancer?  Answer 
7.) What are the more common sites for spread of prostatic cancer beyond the gland?  Answer 
8.) What are criteria for curative treatment?  Answer 
9.) Does further workup need to be done?  Answer 
10.) What are the curative treatment options and major complications of each?  Answer 
11.) What are treatment options for palliation and when should these be considered?  Answer 
 
  The Virtual Patient > Case List > UROLOGY - Case # 4