Notes from Care Team
Notes from Care Team
Progress
Subjective
Heme/Onc Problems
ICD-10-CM
1.
Prostate cancer (CMS HCC)
C61
2.
Cancer associated pain
G89.3
Heme/Onc Treatment History
Heme/Onc History
Prostate cancer (CMS HCC)
10/2019 - 10/2020
Chemotherapy
GnRH Agonist Alone
Planned concurrent EBRT but did not occur secondary to COVID pandemic
4/12/2021 -
Cancer Staged
Staging form: Prostate, AJCC 8th Edition
- Clinical stage from 4/12/2021: Stage IIIC (cT1c, cN0, cM0, PSA: 31.9, Grade Group: 5)
-NCCN localized CaP risk group: HIGH RISK
4/2021 -
Chemotherapy
GnRH Agonist
5/2021 - 6/22/2021
Radiation Oncology
EBRT to Prostate and Whole Pelvis with concurrent GnRH Agonist
70 Gy in 28 to pelvis
45 Gy in 28 to whole pelvis
11/2/2022
Biopsy
PSA=8.7, up from 0.9 in July 2022
c/w development of castrate-resistant disease
12/12/2022 - 4/1/2024
Chemotherapy
Apalutamide 240mg PO daily
4/23/2024 - 5/8/2024
Chemotherapy
OP ABIRATERONE (1000 MG PO DAILY) / PREDNISONE (5 MG PO DAILY) (HIGH RISK OR METASTATIC CASTRATION SENSITIVE)
5/16/2024
Surgery
Open radical cystoprostatectomy.Ileal conduit urinary diversion for disease control
Prostatic adenocarcinoma, acinar type (Gleason 5 + 5 = 10; ISUP grade
group 5), involving the urinary bladder and prostate with extensive
necrosis. Invasive carcinoma present at margin
10/21/2024 - 12/18/2024
Chemotherapy
OP DOCETAXEL D1 EVERY 21 DAYS X 6 CYCLES