Slide Digitization by:
Digital Slide Seminar:
Day 1 (02.15 - 03.45pm)
Dr. Zahrah Tawil
Diagnostic approach to prostate needle biopsy & the evolving Gleason grading system
61/father had PCA.
CT Renal 21/9/15:
Prostatic mass infiltrating the urinary bladder & surrounding perivesicular fat with enlarged lymph node.
Multiple bony sclerotic
71 yo/ UL DM, HPT, lumbar spondylosis
PSA 15.7 (June 2016)
57 yo / refered from H.Sg Buloh.
P/W AUR = drain 1.5L urine
DRE = 80g, benign feeling
No PSA done
History of nocturia and occasional frequency, no hematuria
US showed prostatomegaly
DRE smooth surface, median sulcus felt
under Urology follow up for BPH with raised PSA
Diabetes and Hypertension under private clinic follow up.
67 yo, U/L HPT, CKD, ID on antiplatelet.
PSA (21/6/18) = 106
Creat = 342
58 yo, NKMI/NKDA, Machine operator.
Referred from KK Jinjang for raised PSA (PSA 10 11.6) in 2014
DRE=30g, smooth, firm
Incidental finding on routine check up
No LUTS/dysuria/haematuria/frequency/nocturia/no LOA/LOW
Defaulted f/up in 2014
Latest PSA 497 (in 2017)
Now metastatic prostate CA (multiple bone mets)
69 yo, U/L DM
Metastatic prostate CA with spinal cord compression
Initially presented with LUTS with raised PSA (23) in 2017 but defaulted follow up