prostate

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Surgery Forum

prostate

Author

13 Posts

exam
Forum Junior

Topics: 21
Posts: 39

11/05/05 - 05:51 AM

A 72 yrs. old man operated trans-urethral route and prostrate has been removed. Histology revealed 5% undifferentiated carcinoma cells in the specimen. Which of the following is the best management for his condition?

a) Do nothing

b) Radiation

c) Radical prostratectomy

d) Complete trns- urethral resection

e) Chemotherapy

Moctopod
Forum Elite

Topics: 14
Posts: 422

11/06/05 - 07:12 AM

a) Do nothing

phuluong2k
Forum Fanatic
avatar

Topics: 714
Posts: 2,008

11/09/05 - 02:50 AM

Is it C ?

What is the answer Exam ?

ARJ
Forum Guru
avatar

Topics: 133
Posts: 792

11/09/05 - 03:42 AM

d) Complete trns- urethral resection

___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi

nisha
lil monkey
avatar

Topics: 146
Posts: 919

11/09/05 - 03:55 AM

I am guessing because undifferentiated essentially means advanced malignant cells

___________________
IM resident

phuluong2k
Forum Fanatic
avatar

Topics: 714
Posts: 2,008

11/11/05 - 12:01 PM

Exam, What is the explanation ?

frontal
Forum Guru
avatar

Topics: 53
Posts: 421

11/23/05 - 05:37 AM

It's a good question. If the answer is available, please post it exam nod

. By the way, does anyone know the indication/s for complete trans-urethral resection?

exam
Forum Junior

Topics: 21
Posts: 39

11/24/05 - 11:07 AM

Do nothing is Answer

Doc2378
Forum Guru
avatar

Topics: 46
Posts: 688

11/24/05 - 10:00 PM

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

frontal
Forum Guru
avatar

Topics: 53
Posts: 421

11/24/05 - 11:01 PM

#10

Can't really agree as the cells are undifferentiated. raised eyebrow

In any case, frequent follow ups are necessary even with well differentiated cells.

kingsofke
Forum Guru

Topics: 24
Posts: 715

12/07/05 - 11:37 AM

#11

If single focus of Prostate CA on Turp (stage A1) do nothing unless < 60 years old, If diffuse disease or multiple foci (stage A2) then follow with surgery/radiation. (pretest surgery)

___________________
In Life there are neither rewards nor punishments, just consequences.

mesh
Forum Guru

Topics: 77
Posts: 401

12/11/05 - 11:19 PM

#12

well guys correct me if I am wrong.......no doubt ans is A....cause wat i see is....prostate has been removed already....and on histology we found 5% undifferentiated cells......at the most wat we should be considering is about the metastasis.......which will require chemotherapy.......and no other option fits.....i hope i am not going on the wrong track.......

pawan
Forum Newbie

Topics: 0
Posts: 2

01/05/06 - 07:28 AM

#13

do nothing is the answer , as the undifferentiated cell is only 5% , nd the patient is very old!

You don't have permission to post.