Discussing quality-of-life issues with a patient newly diagnosed with prostate cancer

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Abstract

Background

A 66-year-old man with hypertension, hyperlipidemia, and benign prostatic hyperplasia presented for evaluation of an elevated PSA level of 6.2 ng/ml.

Investigations

Transrectal ultrasound-guided 12-core prostate needle biopsy.

Diagnosis

Clinically localized, clinical stage T1c adenocarcinoma of the prostate.

Management

Following a full discussion of the risks and benefits of his treatment options, including quality-of-life sequelae, the patient opted for radical prostatectomy.

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