Prostate Nodule
Home Back Positive Biopsy Prostate Nodule

 

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Introduction 

 Demographics

 Anatomy & Physiology

 Symptoms

 Who Should be Evaluated

 Prostate Examination

 Digital Rectal

 PSA

 Total vs. Free Ratio

How to Evaluate for PCa

 Consultation

 Total vs. Free PSA

 Trans Rectal Ultrasound

 Needle Biopsy

 Biopsy Results

What if the Biopsy is Positive?

Gleason Grade

Stage

 Stage A

 Stage B

 Stage C

 Stage D

Therapy Options

Surgery

 Radical Prostatectomy

 Standard Operation    

 Nerve Sparing Oper.

 Positive Margins

 Recurrence after Surgery

Radiation Therapy

 External Beam Therapy

 IMRT

 Interstitial Radiotherapy

 Brachytherapy or Seeds

 Rapid Interstitial Therapy

 Combined Therapy

 Neoadjuvant Therapy or

         Hormones + Radiation

Combined Therapy

Cryotherapy

Hormone Therapy 

 Hormonal Therapy

 Castration

 LHRH Inhibitors

 Total Androgen Blockade

 Neo Adjuvant Therapy or

    Hormones + Radiation

Observation

Late Stage Prostate Cancer

 Cycling antiandrogens

 Chemotherapy

 Cryotherapy

 Bony Metastases

   External Beam Radiation

   Strontium 89

   Bisphosphonates

   Immunotherapy

   Monoclonal Antibodies

   Alternate Medicine

Alternate Medicine

 PC-Spes

 

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    A Prostate Nodule is simply a "bump" that can be felt in the prostate on Digital Rectal Examination, (DRE).  A nodule does not mean that prostate cancer is present.  Prostate nodules can be hard, soft, big, small or gritty.  While a rocky hard nodule may mean cancer it may also be a calcification, (stone), in the prostate. Similarly, a soft nodule may be a cancer.  An asymmetric prostate may be considered a nodule.  When a nodule is found, the urologist must include in his evaluation the presence of symptoms of prostatitis or infection, the level of PSA and/or Free PSA, as well as the consistency of the nodule.  On occasion, treatment for infection or prostatitis is given for several weeks to a month and the prostate reevaluated.  If the nodule disappears, and the PSA goes back to normal, a biopsy may not need be done.

    However, if a nodule does not disappear or the PSA does not drop to normal with antibiotic treatment, or especially if there are no symptoms of infection sonography and biopsy MUST be done unless there are medical contraindications such as age over 80, other major life threatening conditions, etc.

    Overall, about 50% of all prostate nodules are cancerous!

 

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    rev: 03/02                              

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MidAtlantic Urology Associates LLC

Formerly Werner-Francis Urology Associates LLC

Greenbelt - Bowie - Laurel     Maryland

(301) 477-2000              Fax (301) 474-2389

7500 Greenway Center Drive   Eigth Floor    Greenbelt, MD   20770

A Patient Care Center of Mid Atlantic Urology Associates, LLC

e-mail:  wfurology@gmail.com

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Rev: 08/07