Suspect prostate cancer

68/male Urologist advised for biopsy Chief Complaints C/o acute severe hip and thigh pain Hypogastric pain Frequent urination History -BPH (53 gms) diagnosed 6 months back -Hypertension Physical Examination DRE- nodularity present Investigations PSA test- >100

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PSA is very high Enlarged prostate with hip and thigh pain and rest of symptoms are suggesting malignant prostate hence needs biopsy for confirmation

Thanx dr J.N. Pandey
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Serum PSA drastically elevated Advised urgent biopsy And HOLEP after biopsy And specimen for HPE