Concluded Case

CECT abdomen

This is report of my Grandfather. Chief complaints: Difficulty in urination* 1 month Loss of appetite* 1 month Rapid weight loss ( lost 18kg within 2 months) Sleeplessness, depression. Respected doctors please comment.

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Concluded answer

Prostatectomy of the patient was done and patient was discharged after 7 days. Growth was benign. Urine flow is better now. Sleeplessness and anxiety is better. Still reason for acute weight loss is unknown.

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NEED'S.. SURGICAL INTERVENTION& HPE STUDY.. WITH.. ONCOSURGEN'S OPINION ..

Tnx Dr Sandeep Ghodekar sir
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Consider free and total PSA Plan turp Biopsy HPE to confirm the pathology. Medical management accordingly.

Valuable opinion
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The prostatomegaly in unlikely to be the cause of weight loss, even if this turns out to be prostate cancer and there does not appear to be any spread to LN or metastatic spread. I would look more at his depression and other etiologies.

Thank you doctor
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Prostatectomy send for HPE after results of the report proper treatment if benign no problem if Malignancy then chemotherapy & Radiotherapy

Thanks Sir.
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? Malinglency of Prostrate gland . Plan for Prostatectomy and HPE. Till than Alfa blocker...

Valuable opinion
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पाषाणभेद मकोय पंचांग शाहतरा कासनी बीज पुनर्नवा गिलोय वरुण छाल गोखरु छोटा प्रत्येक 8 ग्राम लेकर काढ़ा बनाकर उसमें 1 ग्राम स्वेत परपटी डालकर सुबह खाली पेट सेवन कराएं। तगर 50 ग्राम जटामांसी 25 ग्राम लेकर दोनों का पाउडर बनाकर 5 ग्राम सुबह-शाम खाने से पहले दें। चंन्दनासव 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Thanks Doctor.
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Prostatectomy of the patient was done and patient was discharged after 7 days. Growth was benign. Urine flow is better now. Sleeplessness and anxiety is better. Still reason for acute weight loss is unknown.

NICELY DISCUSSED IN. DETAILS THANKS. A. LOT. DR

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The size of the prostate is only moderate. Only cause for such rapid weight loss can be a disseminated malignancy. The lung shadows don't indicate such a conclusion. PSA total.and FREE can rule out Ca prostate. The only sureshot way of finding any malignancy is to do a PET scan Untill then you can do a Uroflowmetry to assess degree of BOO.

Valuable opinion
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Hello dr neha, get his DRE done if possible get his serum PSA, followed by Urine culture and sensitivity, Uroflowmetry, xray DL spine. Usg guided prostate biopsy.Put Foley's catheter if he is unable to void,...... send all reports

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