Patient name: Confidential
Date of Admission: 09/20/07
Admission Diagnosis: Prostate cancer, bone metastasis, anemia
Date of Discharge: 10/02/07
Discharge Diagnosis: Prostate cancer and bone metastasis
The patient is a 58 year old male who has a medical history of prostate cancer. In 1997, The patient had a PSA report of 4.5. Ultrasound was found to be clear. He monitored the prostate every year and only inflammation, without any evidence of a suspicious lesion, was reported. PSA levels continued rising until 2007 with a report of more than 500. An MRI reported lesions of L4 and pelvis. Patient was anemic upon admission with Hb levels of 8.9. A sonogram on September 21, 2007 reported a prostate size of 45 x 35 x 35, residual urine of 30cc, no groin adenopathy, and increased vascularity around calcifications.
Treatment and conclusion: The patient received SonoPhotoDynamic Therapy and a blood transfusion. October 1, 2007, sonogram showed flow vascularity decreased by 10%, with no other significant changes.