Term
| Primary purpose of the prostate gland: |
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Definition
| decrease viscosity of semen to facilitate transport |
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Term
| Why are prostatic secretions alkalilne? |
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Definition
| to neutralized the acidity of the male urethra and female vagina during intercourse to preseve intergrity and lifespan of sperm |
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Term
| what age should DRE be discontinued? |
|
Definition
| 75 unless there is an aggressive tumor, in which case they may have substantial benefits |
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Term
| recommended prostate biopsy technique: |
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Definition
| TRUS- transrectal ultrasound guided prostate biopsy, extended pattern 12 core biopsy- 6 towrads the lateral peripheral zone and 6 torwards abnormal palpable nodule |
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Term
| High grade prostatic intraepithelial neoplasia (HGPIN): |
|
Definition
| - confirms atypical cells that have NOT yet transversed basement membrane |
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Term
| Atypia, suspicious for cancer: |
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Definition
- contains cells that appear atypical but a dx of malignancy cannot be made or ruled out
- requires follow-up extended biopsy with additional cores from the atypical region within a 3 month time frame |
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Term
| when is repeat biopsy recommended: |
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Definition
- for patients whose PSA levels continue to rise following negative biopsy results
2 negative or unequivocal biopsies and pts PSA continues to rise> saturation biopsy |
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Term
| active surveillance/watchful waiting/expectant management/conservative care for prostate cancer: |
|
Definition
- PSA and DRE every 3-6 months
- yearly prostate biopsy |
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|
Term
| follow up after successful treatment of prostate cancer: |
|
Definition
- PSA and DRE every 6 months for 5 years
- after th3 5 years, annual follow up |
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|
Term
| overall 5 year survival rate for prostate cancer: |
|
Definition
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