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Case 1:
patient with stage N+ (D1) disease
•
A 78-year-old man was shown to have a prostate-
specific antigen (PSA) level of 18 ng/mL in a
routine evaluation.
•
His physical exam was normal and the digital rectal
examination revealed a slightly enlarged prostate
(87 cc by transrectal ultrasound).
•
Prostatic biopsy revealed a Gleason score 8 (4 + 4)
adenocarcinoma in 7 of 12 specimens.
•
His past medical history was significant for
systemic hypertension and dyslipidemia.