
Patient name: Confidential
DOB: 10/03/1939
Date of Admission: 08/23/07
Admission Diagnosis: Prostate cancer
Date of Discharge: 09/07/07
Discharge Diagnosis: Prostate cancer
Summary:
The patient is a 67 year old male patient. His condition started 15 years ago with a prostate enlargement and a PSA report of 8, with an increase to 10 in the same year. He started to have urinary symptoms such as caliber reduction in the stream, sexual dysfunction and pubic hair loss. He reported the need to get up several times during the night to urinate. A Doppler Color Transrectal Prostate sonogram performed on August 23, 2007 showed a prostate size of 62 x 54 x 77 mm, a volume of 134 cc, a focal lesion of 30 x 25 mm, high vascularity in the lesion, and residual urine of 62 cc. September 3, 2007 sonogram showed a prostate decreased size of 62 x 51 x 60 mm, a decreased volume of 99 cc, a decreased focal lesion of 23 x 28 cc, low vascularity in the lesion and no residual urine. This represents a considerable benefit for this patient.




