Prostate Cancer Treatment case # 3,Jun 2017

Prostate CA case # 3, Jun 2017

Patient ID : Jun 2/017/PCa-3

Man,61 y,Non smoker

Non-Alcoholic ,Married.

Patient weight : 68 kg

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

Hb: 10.5

PSA Level : 13 ng/ml

HbA1c Level:  5.2 %

ALT :68 u/L

Creatinine: 1.2 mg/dl

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

Vit D Level is 12 ng/ml

URINE Details Reports shows blood +++ ,Pus Cells 40~45.

Ultrasound : shows Prostatic Hyperplastic  mass.

Biopsy : Squamous Cell Carcinoma of Prostate gland

Treatment  :

Artesunate IV, 3.5 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.

Follow up :

Mild Painful urination , blood in Urine .Good Control of Urine.

PSA Level : 9 ng/ml

Puss cell ++ in urine found.

Pre treatment ALT  60 U /L

Post treatment ALT 38 U /L

Side effects during therapy:

Patient complaints headache during treatment.

Ultrasound : Prostatic Mass shows very low density.

Follow up treatment:

1..Artesunate 100 mg x BD orally

2.. Ascorbic Acid 500 mg X BD orally

For 60 days.

Post treatment PSA level was 7 ng/ml.

The treatment completed in 90 days.

Advised : Monthly follow up consultation for 6 months.

Pre-Treatment Scan

Post-Treatment Scan

After 1 year.