Question

LD is a 65-year-old man who reported difficulties with urination on his annual exam. His PSA was elevated. He was referred to urology and after examination revealed nodules on an enlarged prostate, underwent a prostate biopsy. He was diagnosed with prostate cancer with the following staging: T2b confirmed by pathology as pT2b pNO MO

1. Explain what the staging tells us about his prostate cancer.

2. Describe his options in terms of treatment.

3. How would you explain to LD?

a. The benefits and risks of treatment

b. The side effects of medications

Answer 1

Answer: The stage of cancer that is pT2b pNO MO includes that the cancer is spread in half of the one lobe of the prostate gland. The tumor can be easily identified as by the lump in the one lobe. This shows that the tumor has not yet spread to the both the lobes of the prostate gland.

The treatment includes:

• Medications
• Chemotherapy
• Surgery.