Man 45yo with pain at sternum. SPECT bone scan detected multiple bone lesions (SPECT photo).
Ultrasound at sternum detects osteolytic lesions.
Blood test= PSA rises 92 ng/mL
Transabdominal Ultrasound of prostate
US 1 section prostate in small size
US 2 sagital view also prostate in small size without abnormal focal lesions
US 3 elastoscan detected abnormal zone inside prostate
US 4 sagital elastography mapping one zone with kPa high, #C50 kPa
Biopsy with TRUS elasto guiding; report is prostate cancer, classified of Gleason core 7
Summary= US elastoscanning of prostate guiding for biopsy is more accuracy than conventional TRUS guiding alone.
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