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A 72-Year-Old Man With Localized Prostate Cancer
Peter Albertsen, MD
JAMA. 1995;274(1):69-74.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Dr Daley: Mr S, a 72-year-old retired architect, was found to have carcinoma of the prostate in early 1994. Married and the father of two grown children, he is writing a book on American naval history. He is insured by Medicare and carries supplemental insurance.
For editorial comment see p 76.
His medical history is remarkable for angina pectoris followed by coronary artery bypass graft surgery in 1981, peptic ulcer diagnosed in 1981, heavy smoking 30 years ago, and hypercholesterolemia treated with nicotinic acid. A thallium exercise scan performed in 1993 for recurrent angina revealed a reversible perfusion defect in the posterolateral wall, although since beginning treatment with diltiazem he feels well and is not limited by pain.
In 1992, Mr S went to Dr K, his primary care physician of 8 years, for a routine checkup. Dr K performed a rectal examination and noted a new slight induration of
. . . [Full Text PDF of this Article]
Footnotes
Dr Albertsen is the chairman of the Division of Urology, University of Connecticut Health Center, Farmington.
This conference took place at the Surgical Grand Rounds of the Beth Israel Hospital, Boston, Mass, on October 29, 1994.
Reprint requests to Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY339, Boston, MA 02215 (Ms Walzer).
Clinical Crossroads at Boston's Beth Israel Hospital is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Janet Walzer, MEd, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.
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