Condition after the surgical castration dated 04.2019. Monochemotherapy with docetaxel No.6 since 06.10.2019. Condition during the therapy with bisphosphonates + photodynamic therapy. Second clinic group. ICD-10 C641
Diagnosis: BI of the prostate T3bM1M1. Stage IV, mts in bones (in the right femoral head, the body of the ilium to the right, the ischium and the pubis to the right) and iliac lymph nodes metastasis.
Histological screening: surgical sample (prostate) (689403), No.1779 dated 14.03.2019Results: Acinar adenocarcinoma of the left and right segments of the prostate, total Gleason score (5+5) 10, extracorporeal invasion. Surgical treatment dated 21.03.2019: bilateral orchiectomy. Histology No.2192 dated 27.03.2019 – testicles with epididymides of normal structure. (680202) SPECT, combined with computed tomography of bones in the whole body, No.298 dated 24.04.2019.
Conclusion: Scintigraphic signs of specific damage of the medial border of the left scapula, right iliac, sciatic, pubic bones; intervertebral area of the right femur. SBHOVR “Regional Clinical Oncology Hospital” in Vladimir recommends therapy with bisphosphonates (zoledronic acid 4 mg daily for 28 days with the control of calcium and creatinine levels) – 12 months – after 1 month pause every 3 months. The patient does not get medications within AMS and RMS.
Medical commission took place. There was taken a decision to choose the treatment described above: (zoledronic acid 4 mg i/v daily for 28 days) + photodynamic therapy for mts in bones.
At the control screening – Radioisotope scan: whole body osteoscintigraphy dated 03.11.2020. Comparing with the previous scan dated 24.04.2019 scintigraphic image with the radiopharmaceutical distribution is with 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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