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06 - Urologie - prostaatcarcinoma - Imelda

06 - Urologie - prostaatcarcinoma - Imelda

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Casus 3:<br />

Pt 65 j, 2009: nachtelijke rugpijn,<br />

KO: wsp lumbaal, harde massa prostaat<br />

Ct : osteoblastische botmetastase L2-L3<br />

PSA: 900 (10-2009)<br />

cT3aNOM1 prostaatCa, G 4+4<br />

Start LHRH-agonist + Casodex (4 w)<br />

PSA daalt tot 1,2 (04-2010)<br />

PSA: 18 in 09-2010, herstart Casodex<br />

PSA: 42 in 12-2010, pijn thv linker schouder

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