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Details

GU: PACE module
GU: PACE module
10
Anatomy
Graduate
02/04/2012

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Cards

Term
Primary purpose of the prostate gland:
Definition
decrease viscosity of semen to facilitate transport
Term
Why are prostatic secretions alkalilne?
Definition
to neutralized the acidity of the male urethra and female vagina during intercourse to preseve intergrity and lifespan of sperm
Term
what age should DRE be discontinued?
Definition
75 unless there is an aggressive tumor, in which case they may have substantial benefits
Term
recommended prostate biopsy technique:
Definition
TRUS- transrectal ultrasound guided prostate biopsy, extended pattern 12 core biopsy- 6 towrads the lateral peripheral zone and 6 torwards abnormal palpable nodule
Term
High grade prostatic intraepithelial neoplasia (HGPIN):
Definition
- confirms atypical cells that have NOT yet transversed basement membrane
Term
Atypia, suspicious for cancer:
Definition
- contains cells that appear atypical but a dx of malignancy cannot be made or ruled out
- requires follow-up extended biopsy with additional cores from the atypical region within a 3 month time frame
Term
when is repeat biopsy recommended:
Definition
- for patients whose PSA levels continue to rise following negative biopsy results

2 negative or unequivocal biopsies and pts PSA continues to rise> saturation biopsy
Term
active surveillance/watchful waiting/expectant management/conservative care for prostate cancer:
Definition
- PSA and DRE every 3-6 months
- yearly prostate biopsy
Term
follow up after successful treatment of prostate cancer:
Definition
- PSA and DRE every 6 months for 5 years
- after th3 5 years, annual follow up
Term
overall 5 year survival rate for prostate cancer:
Definition
99%
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