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Higher psa level
My father who is 74 now who in his recent ultrasound reported a grossly enlarged prostate 97 gms and has an evidence of small irregular hypoechoic lesion in the left lateral prostatic parenchyma measuring 13mm Also the psa total report is 21.26 ng/gm Ultrasound report also mentions grade 3 prostatomegaly
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He shall require prostate biopsy to rule out cancer. He also requires serum creatinine, urine routine, uroflowmetry and post void residual urine estimation by ultrasound. Final treatment (surgical/medical) depends on reports of investigations.
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Consider it seriously. Could be cancer of prostate. Contact on http://prac.to/drmanikantan for further details.
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