The result of Dr.s conference about my situation

[NOCanceros]

Hello Good People

I am sending their conference about me the same day and at different time and different assessment :

2021-07-08 15:00

Multidisciplinary conference - internal

Urology Conference

Health and medical history:

Oncological disease / treatment:

For more information, read the note on April 22. Now the patient has been on PET / CT examination and answers are available. Set up for discussion about treatment options.

Assessment

PSMA-PET shows no signs of uptake. There is suspected kidney cancer up to 1 cm in size right kidney and some nodules in the lungs. The radiologist discovered the same lung changes in 2019 and then the changes were somewhat smaller. Not clear progress today. The tumor in the right kidney has not grown during the period April to June. PSA continues to rise slowly and is at 0.99.

The patient received radiation therapy for his prostate in 2010 in Germany in the form of brachytherapy.

The round proposes to recommend only radiological follow-up with regard to kidney cancer. Attempts to biopsy the change have not been successful before, so we choose to check the suspected tumor radiologically. We have no signs of cancer progress despite slowly rising PSA after radiation treatment, which is currently an indication to start again with Bicalutamide, which may be relevant in the future if PSA begins to rise faster.

2021-07-08 16:00

Present

Oncologist, pathologist, radiologist and urologist.

Anamnesis

Health and medical history:

Oncological disease / treatment:

Patient with previous prostate cancer who was treated with seeds and after that he has had low PSA. Currently PSA 0.99. The patient underwent a DT thorax / abdomen in April which showed suspected tumor in the right kidney and nodules in the lungs. Further investigation with PSMA-PET showed no spread. Attempts to take a biopsy from the right kidney failed as the tumor is far too small to take a biopsy.

After discussion at MDK today, we agree on an X-ray examination in six months. If the tumor becomes larger, we can discuss a possible biopsy. Regarding prostate cancer, it is still considered redivifri and we can check PSA in four months. The patient does not need treatment for prostate cancer right now.

This note to Dr. Vasileios Souvleros for further processing.

Planning: Telephone time with Dr. in August and then he can inform the patient about further planning.

I have not dictated a referral for X-ray examination.

Diagnostic and action code

D410-Tumor of uncertain or unknown nature in right kidney-Main diagnosis

Z854J-Malignant tumor of prostate in own medical history (condition classified under C61) -Bidiagnosis

George

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