Job’s Syndrome 1

It started in June when Duncan’s PCP Tom discovered that Duncan’s PSA was in the 600s. We’ve heard that insurance companies discourage doctors from monitoring PSAs in patients over 75 and we are forever grateful to Tom for not paying attention to them. Duncan’s PSA jumped from the 600s to the 700s and then to the 1400s. A CAT scan showed no cancer in the prostate, but a bone scan showed cancer in his ribs and his spine. At that point Duncan was put on Casodex, a preliminary treatment before starting the hormonal treatment which is standard for this condition. His PSA dropped to the 200s and when he started the hormone Lupron it dropped to 6 and now, some 9 months later, it is under 1.
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