A Sojourn beyond Palliation in Stage IV Prostatic Malignancy D2
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 10
Abstract
This presentation is about an interesting case of clinically, radiologically and histo-pathologically proved, advanced STAGE IV METASTATIC PROSTATIC CANCER with skeletal metastasis involving sternum, 5,6,7th ribs, T9 vertebral body and right acetabulum. Patient’s first presentation was sudden hematuria. The universal treatment approach to such advanced cancer way back in 2012 was hormone therapy (anti-androgen therapy) with simultaneous or sequential chemotherapy. Deviating from the standard palliative protocol, a bold decision was taken to go all out to attempt a cure in this case armed with an innovative self-designed Multi-modality approach. Thus adopting SURGICAL AND CRYOFREEZING techniques, along with simultaneous chemotherapy, Hormone therapy, Immunotherapy and Oral bicalutide and nutritional supplements, a spectacular remission progressing to complete cure was achieved with Tumor marker PSA level touching 0.02ng/ml and PET scan report coming as Normal study. This state of complete remission is perfectly maintained well over 5 years period. There are ample reports of patients surviving for over a decade too without achieving a complete remission, thanks to the diligent management of such cases, but this patient has complete remission with normal tumor marker level even after 5 years, with normal PET scan report, having stopped all medications after 2 years or so. This case may offer an useful insight into the all-out war on advanced STAGE IV cancer with possibility of cure, if not best possible remission and also the excellent utility of Cryo-freezing techniques, which aid in conversion of hitherto declared inoperable cases as in this case to operable ones by its diligent use. This approach puts up a question WHY NOT TRY FOR CURE IN STAGE IV CANCERS. We may succeed in many. This claim is not based on this single case but on reaping benefits in more than 6, such advanced cases.
Authors and Affiliations
Dr. R. S. Ravi Chandra MS, Dr. Hariharan Sritharan
Keywords
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