Prostate carcinoma
Diagnosis certain
Updates to Case Attributes
Body
was changed:
A targeted biopsy of the left anterior TZtransitional zone (TZ) lesion, confirmed a GleesonGleason 4+3 + 3 = 7, carcinoma of the prostate gland.
-<p>A targeted biopsy of the left anterior TZ lesion, confirmed a Gleeson 4+3 = 7, carcinoma of the prostate gland. </p>- +<p>A targeted biopsy of the left anterior transitional zone (TZ) lesion, confirmed a Gleason 4 + 3 = 7, carcinoma of the prostate gland. </p>
References changed:
- 1. Barentsz JO, Richenberg J, Clements R et-al. ESUR prostate MR guidelines 2012. Eur Radiol. 2012;22 (4): 746-57. <a href="http://dx.doi.org/10.1007/s00330-011-2377-y">doi:10.1007/s00330-011-2377-y</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3297750">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/22322308">Pubmed citation</a><span class="auto"></span>
- Barentsz, Jelle O., et al. "ESUR prostate MR guidelines 2012." European radiology 22.4 (2012): 746-757.
Updates to Study Attributes
Findings
was changed:
Focal suspicious lesion at the anterior transitional zone (mid gland-base).
On T2, the lesion is hypointense, lentiform with a lentiform shape with and ill defined-defined margins and. It also has the "Erased"erased charcoal sign".
On DWI, there is restricted diffusion with a low ADC value of 600.
On the dynamic contrast enhanced scans, the lesion demonstrated a Type 3 curve.
The overall PI-RADS score given was 5 / 5.
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