A case of sarcoma

A 72 y/o male was diagnosed with prostate cancer T2N1M0. Surgery was performed successfully and he underwent radiotherapy. 9 months later he presents with the diagnosis of sarcoma He has a history of Asthma and arthritis and is on prednisolone. Is it necessary to stop prednisolone for the management of sarcoma? How to deal with his arthritis and asthma?

(Edited)

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Prostate cancer Bone metastasis is known Sarcoma seems to be sequele Known c/o asthma and artheritis Steroid dependent status I don't think there is any need to withdraw steroid rather considered in mx of sarcomaswith rest of chemoradiotherapy

Thanx dr Kute Ankush
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Keeping in view the age and prostate cancer for which successfully surgery was performed and underwent RADIOTHERAPY. Presently suffering from sarcoma. For steroid use may be taper done and consider biologics after expert opinion and assessment. Chemoradiotherapy may be considered.

Thanks Dr Pushkar Bhomia
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For asthma prefer inhaled bronchodilators and steroids. For arthritis avoid steroids. Prefer other disease modification drugs. May Consider biologics after rheumatologist's opinion.

Known pt of sarcoma prostate Prednisolone wonder drug Tapper doses Then morning dose or alternate drug is safe

STOP .. STEROIDS.. TREAT SYMPTOMATICALLY WITH CLINICAL CORELATION..

Tnx Dr Shivraj Agarwal sir
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O you can not stop Steroids Rest surgical removal of sarcomatoid tumour Follow chemo and radiotherapy

Epithelial Sarcoma Refer patient to oncologist first for surgery and rediation

Treatment as advised by Oncologist

For sarcoma chemotherapy , radiation and surgical removal No need to stop steroids

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