Prostate cancer Treatment case #4, Aug 2018

Prostate CA case # 4, August 2018

Patient ID : AUG 2/018/PCa-4

Man,62 y,Non smoker

Non-Alcoholic ,Married.

Patient weight : 72 kg

Complaints : Patient haven't control urine ,painful urination.

Burning during urination.

PSA Level : 12 ng/ml

HbA1c Level:  5.8 %

ALT :36 u/L

Creatinine: 1.2 mg/dl

Hb: 10.5

                    9

TLC: 3.2 x10 /L

Vit D Level is 15 ng/ml

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

Ultrasound : shows Prostate Cancer invades semanil vessels of both sides

as well as start penetration to bladder.

Biopsy Report: Not Available

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

Follow up :

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

PSA Level : 8 ng/ml

Urine detail report Normal.

CBC,LFT Normal limits.

Pre treatment ALT  36 U /L

Post treatment ALT 48 U /L

Side effects during therapy:

Slight increase in ALT level.

Patient complaints mild Nausea and bloating during treatment.

Follow up treatment:

1..Artesunate 50 mg x BD orally

2.. Ascorbic Acid 500 mg X OD orally

For 90 days.

Post treatment PSA level was 7 ng/ml.

The treatment completed in 120 days.

Advised : Monthly follow up consultation for 6 months.

Pre-Treatment scan

This patient want to be clear about that his prostate is normal or not ,

that’s why i advised him  PET CT scan.

FD PET-CT scan shows Prostate ,seminal ves ,bladder are clear.