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49 years old male has a prostate cancer gleason grade 7.is there a risk of having a metastase already if PSA=12? he has also a bladder cancer, now waiting for biopsy result to see if same cancer
11 يوليو 2014

د. Chady Waked طب أمراض المسالك البولية
With Gleason 7 and PSA of 12 the risk of distant metastasis specially to the lymph nodes is around 10%. But the risk of locally extended disease is higher this can be ruled out by the a digital rectal exam and the prostate biopsy.
The bladder tumor is almost always from the bladder and it is caused most of the time from smoking, the biopsy will give us more details about its nature.
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د. Salim Saab طب الأذن والحنجرة
in this casethere is risk of distant metastasis there is greater risk of having local extension
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