Prostate Cancer Treatment Case # 1, April 2017

Prostate CA case # 1, April 2017

Patient ID : APR 2/017/PCa-1

Man,52 y,Smoker,

Non-Alcoholic ,Married,Father of 3 children.

Complaints : painful urination,Blood in urine.

PSA Level : 14 ng/ml

HbA1c Level:  5.4 %

ALT : 25 u/L

Creatinine: 1.1 mg/dl

CBC,LFT ,U&C ,Lipid Profile   are in Normal Limits.

Vit D Level is 15 ng/ml

URINE Details Reports shows blood +++ ,Pus Cells 20~25.

Ultrasound : shows Small Cell Carcinoma of Prostate.

Treatment  :

Artesunate IV, 2.5 mg/kg/day x OD , Mix with 100 ml NS @ 20 drops per minute , 2 hrs after a light meal.

Cholecalciferol 50000 iu,Orally ,OD

Ascorbic Acid 500 mg,Orally x BD

Ferrous Sulphate 60 mg,Orally x OD

Duration of Treatment:  30 days

Specially Advised to stop smoking ,Sexual intercouse during treatment.

Follow up :

No Painful urination , No blood in Urine .

PSA Level : 10 ng/ml

Urine detail report Normal.

Slight increase shown in ALT level

Pre treatment ALT  25 U /L

Post treatment ALT 42  U /L

Side effects during therapy:

Patient complaints mild Nausea ,Dizziness during treatment.

Ultrasound : Almost Normal Prostate .

Follow up treatment:

1..Artesunate 50 mg x BD orally

2.. Ascorbic Acid 500 mg X BD orally

For 60 days.

Post treatment PSA level was 8 ng/ml.

The treatment completed in 90 day.

Advised : Monthly follow up consultation for 6 months.

Pre-Treatment Scan.

Post Treatment Scan.