Prostate Cancer Treatment Case #2 ,April 2017

Prostate CA case # 2, April 2017

Patient ID : APR 2/017/PCa-2

Man,48y,Non smoker

Non-Alcoholic ,Married,Father of a child.

Patient weight : 78 kg

Complaints : Patient not able to control urine ,painful urination,Blood in urine.

PSA Level : 12 ng/ml

HbA1c Level:  6.2 %

ALT :48 u/L

Creatinine: 0.8 mg/dl

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

Vit D Level is 18 ng/ml

URINE Details Reports shows blood +++ ,Pus Cells 35~40.

Having Kidney stone in Rt kidney 0.6 cm.

Ultrasound : shows Prostatic Hyperplasia with Nodular mass.

Biopsy : Acinar Adenocarcinoma of Prostate

Treatment  :

Artesunate IV, 3 mg/kg/day x OD , Mix with 100 ml NS @ 20 drops per minute , 2 hrs after a light meal.

Vit E 200mg Orally ,OD

Ascorbic Acid 500 mg,Orally x OD

Ferrous Sulphate 60 mg,Orally x OD

Duration of Treatment:  30 days

Specially Advised to stop Sexual intercouse during treatment.

Follow up :

Mild Painful urination , No blood in Urine .Good Control of Urine.

PSA Level : 8 ng/ml

Urine detail report Normal.

Pre treatment ALT  48 U /L

Post treatment ALT 32 U /L

Side effects during therapy:

Patient complaints mild Nausea ,Abdominal cramps during treatment.

Ultrasound : Almost Normal Prostate .Nodules not Visualized.

Follow up treatment:

1..Artesunate 100 mg x BD orally

2.. Ascorbic Acid 500 mg X BD orally

For 45 days.

Post treatment PSA level was 7 ng/ml.

The treatment completed in 75 days.

Advised : Monthly follow up consultation for 6 months.

Pre-treatment Scan

Post- Treatment Scan