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The Common Types Of Disease

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PBL 2: A 62 year old man presented to the GP with an increased tenderness of the pubic region

Discuss the common types of disease that may be causing these symptoms and suggest a likely diagnosis for this patient
The patient is a 62 year old male who presented to the GP with an increased tenderness of the pubic region, his systems also included increased frequency of urination. His blood profiles were normal except for prostate specific antigen (PSA) level of 10ng/ml, which significantly above normal for a man of 62 years (which is 4ng/ml). This increased PSA level is indicative of three conditions, prostate cancer, prostatitis and an enlarged prostate (James Catto, 2009).

Prostate cancer is a cancer of the prostate gland; it may
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Of the 4 types the chronic pelvic pain syndrome is the most likely; he lacks any bacterial infection and is presenting with symptoms, ruling the other 3 subtypes of this condition out (Prostate Cancer UK, 2013a).

An enlarged prostate (also known as benign prostatic hyperplasia) may also be responsible for the increases PSA and urinary problems. It is a common condition affecting 40% of men over 50; and it accounts for the patients urinary problems (Prostate Cancer UK, 2013b). A transurethral resection of the prostate (TURP) may be performed if BHP was suspected.

As prostatitis has a low risk (<10%) and the transrectal ultrasound showed no significant results I am ruling it out as a likely diagnosis (Krieger et al, 2008). Biopsies would only be taken if cancer was suspected, as it would allow for a definitive diagnosis of cancer; it would also allow for a definitive diagnosis if cancer or benign prostatic hyperplasia were both suspected. A likely diagnosis for this patient would be prostate cancer.

What is the aetiology and pathogenesis of the disease suggested as your likely diagnosis?
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