Assessment in suspected prostate cancer should include ALL EXCEPT ?: (A) Transrectal ultrasound-guided biopsy (TRUS), (B) Cross-sectional MRI imaging, (C) Bone scan, (D) IVU
Answer is D. Transrectal ultrasound-guided biopsy is used to confirm the diagnosis by taking 10 systematic biopsy cores. Cross-sectional MRI is the most accurate method of local staging. Bone scan is paicularly useful when the PSA is >10 nmol /mL or the biopsy shows high-grade cancer. Osteosclerotic lesion seen. IVU is not necessary.