Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 7
  1. Recommend a prostate biopsy. This patient was started on finasteride therapy 18 months prior. Fi≠nasteride typically reduces the serum PSA level by approximately half. Using corrected PSA measurements (ie, doubling PSA level while on finasteride therapy), this patientís current corrected PSA level is 5.6 ng/mL, with a PSA velocity of 1.2 ng/mL per year over the last 3 years. Given these measurements, prostate biopsy is recommended. MRI of the prostate can suggest the location and extent of a tumor; however, biopsy is needed for pathologic diagnosis.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 2/25/08 • nvf