Solve exciting clinical cases specific to your field of interest via Docplexus` clinical case challenge . In today's ‘ Andrology Case Challenge’ , join your fellow doctors to discuss and answer an interesting quiz. A 79-year-old man was diagnosed with prostate cancer three years back. At that time, a biopsy revealed Gleason 3+4 adenocarcinoma. He was treated with a course of external-beam radiation therapy that was well tolerated, and his prostate-specific antigen (PSA) level decreased from a baseline level of 2.8 ng/mL to 0.3 ng/mL.
However, he continued to feel well but had a biochemical recurrence of his cancer, and his PSA increased nine months ago to 2.3 ng/mL. This provoked the initiation of androgen deprivation therapy with leuprolide and bicalutamide. At presentation, the patient had mild hot flashes but otherwise felt better. He specifically denies any pain, dyspnea, neurologic…
