Essentials of AJCC TNM for Prostate Staging
- Digital Rectal Exam is considered the gold standard for staging although it is insensitive for detecting extra capsular extension clinically
- 2 new drugs are being used to treat prostate cancer: Zytiga (HT) and Xofigot (RT) which is coded to 55, radioactive implants
- Radium 233 is coded as Regional Treatment Modality 55 (Radium)
Cancers of the Bone Marrow – A Clinical Perspective
- Acute Myeloid Leukemia: >20 Blast Cells
- Peripheral blood only gives a provisional diagnosis
- Bone marrow biopsy is definitive
- Myeloid Dysplastic Syndrome: < 20 Blast Cells
- Peripheral blood only gives a provisional diagnosis
- Bone marrow biopsy is definitive
- Non-specific signs or symptoms, but anemia is the most common symptom
- ALL treatment regimens are considered First Course of Treatment until disease progression
- Multiple Myeloma
- >10% Plasma Cells
- Symptoms: CRAB
- C: Increased calcium
- R: Renal insufficiency
- A: Anemia
- B: Bone Lesions
- Treatment can expand over one year or more, but a transplant is the only cure