Condition after the surgical castration dated April 2019. Monochemotherapy with docetaxel No.6 since October 06, 2019. Condition during the therapy with bisphosphonates + photodynamic therapy. Second clinic group. ICD-10 C641.
Diagnosis: Tumour of the prostate T3bM1M1. Stage IV, mts in bones (in the right femoral head, the body of the ilium to the right, sciatic and pubiс bone to the right) and iliac lymph nodes metastasis.
Histological screening: surgical sample (prostate) (689403), No.1779 dated March 14, 2019.Results: Acinar adenocarcinoma of the left and right segments of the prostate, total Gleason score (5+5) 10, extracorporeal invasion. Surgical treatment dated March 21, 2019: bilateral orchiectomy. Histology No. 2192, dated March 27, 2019, shows testicles with normal epididymides. (680202) No. 298 dated April 24, 2019, SPECT combined with computed tomography of bones throughout the body.
Conclusion: Scintigraphic signs of specific lesion of the medial edge of the left scapula, right iliac, sciatic and pubic bones; intervertebral area of the right femur. SBHOVR "Regional Clinical Oncology Hospital" in Vladimir recommends therapy with bisphosphonates (zoledronic acid 4 mg once every 28 days with the control of calcium and creatinine levels) for 12 months – followed by a break once every 3 months. The patient does not get medications under the Supplementary Medicines Provision (DLO and RLO).
The medical commission took place. It was decided to carry out the treatment described above: (zoledronic acid 4 mg i/v once every 28 days) + photodynamic therapy for mts in bones.
At the follow-up examination – Radioisotope examination: whole-body osteoscintigraphy dated November 03, 2020. Compared with the previous scan of April 24, 2019, the scintigraphic image with the radiopharmaceutical distribution has positive dynamics.
Previously revealed large focus of pathological accumulation of the radiopharmaceutical, which includes right iliac, sciatic, pubic bones and upper third of the right femur is seen, sizes and introduction of the radiopharmaceutical significantly decreased, The focus in the projection of the medial border of the left scapula is not visualized. The indistinct focus in the projection of Th12 vertebra is not visualized either. New foci were not revealed. Spinal curvature in the thoracic, lumbar and sacrum regions. Scintigraphic signs of moderate dystrophic changes in the projection of the right acromioclavicular joint. Atypical fixation of the medicine in parenchymal organs and soft tissues is absent.
To get a consultation/hospitalization in OOO “Onkoklinika” you should go to the clinic residence (oncology clinic) at the place of your and take a reference (057-U) with the signature of your treating doctor and the seal of the medical organization.
The manager contacts patients just after the concilium of doctors (every Thursday) where the specialists look through all the documents and make a decision about the necessary treatment.
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