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|Poll|February 11, 2015 (Updated: October 29, 2024)

Patient Diagnosed With Clinical Stage T1c Prostate Cancer

After receiving a PSA screening exam, a 65-year-old man is diagnosed with clinical stage T1c prostate cancer. What imaging study is most appropriate to complete his workup?

A 65-year-old man is diagnosed with prostate cancer after receiving a prostate-specific antigen (PSA) screening exam. His initial PSA level is 8.5 ng/mL; 3 out of 12 biopsy cores are involved with Gleason score 3 + 3 = 6 prostate cancer. On exam his prostate is non-enlarged and there is no palpable nodularity (clinical stage T1c).

What imaging study is most appropriate to complete his workup?

A. Bone scan
B. CT scan of abdomen/pelvis
C. MRI of abdomen/pelvis
D. No imaging needed

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