Prostate dre

[thecarbonionangle]

---

Members don't see this ad.

I hear it’s a good way to set the tone in prison.

You gotta hold on to the soap, same way rad oncs currently employed better hold on.

 

[PhotonBomb]

DRE can be useful in cases where there is discrepancy between the MRI/PET/endoscopy report, though this is a pretty rare instance. But as you can imagine, if a tumor is digitally palpable then the most inferior extent is probably lower than the "7 cm from the AV" reported by the radiologist/colonoscopist, which can change your field borders/volumes.

Not sure if we just have inconsistent radiologist/endoscopists, but I've seen MRI reports that say the tumor is 4 cm from AV but the colonoscopy report says 10 cm.

Always trust the MRI

 

[Burt Radnolds]

Always trust the MRI

Yes, but don't always trust the radiologist...

 

[RickyScott]

I've seen anal cancers be bigger on exam than on pet fwiw.

Anal ca is staged clinically isn't it?

You should at least look at the anus as it can spr

I find DRE to be very useful- size of gland, mobility etc. Not hard to tell if a gland is locally advanced/fixed to sidewall and therefore inoperable. Bulky edges almost always means ECE. I probably only have MRI on 1/4 of my new patients so very useful for staging.

Also, I place my own rectal spacers and DRE very helpful in selecting candidates. Big bulky posterior nodules = not good candidates.


Sent from my iPhone using SDN

But would you change management based on dre? give 18 months of hormones based only on your exam?

 

[evilbooyaa]

But would you change management based on dre? give 18 months of hormones based only on your exam?

Perhaps would guide somebody to get a MRI if that is not done as standard of care at their institution?

I generally prefer to do DRE for rectal and anal up front as well. Allows me to determine shrinkage through course of RT (especialy for anal), and determine response to induction chemotherapy for rectal.