CASE 781: ELEVATED PSA VALUE and SMALL NODE of PROSTATE CANCER, Dr PHAN THANH HẢI , Dr NGUYỄN MINH THIỀN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 69 year-old male with high PSA value wants to examine his prostate.

MRI prostate noted an enlarged prostate PI-RADS 3.

But TRUS, transrectal ultrasound, revealed a malignant small lesion #9×5 mm in left peripheral zone of the prostate, and performing 12 point-biopsy.

Histoanatopathologic result was a prostatic adenocarcinoma, Gleason score 6 (3+3) and ISUP Gleason group 1.

Robot endoscopy surgery removed the prostate cancer small node. And PSA value reduced from 6.4 ng/mL to 0.68ng/mL post-op.

Ultrasound post-op showed no prostate only an small amount of collected fluid.

Microscopic result was prostatic adenocarcinoma, intact capsule, Gleason 6.