HY Concept 71

[tommyk]

EVERY MAN EVERY SINGLE MAN who lives long enough will get this disease:

Case: Older gentleman with urinary control problems and complaints include back and hip pain as well as other symptoms such as fatigue, malaise, and weight loss. There may also be a history of bone fractures. What is the disease, and the drug of choice (2 NBME favorite choices)?

[tommyk]

This is sadly prostate cancer with mets to spinal cord. You need to aim to stop testosterone production. Although castration is best (seriously), the choice most men opt for is Lupron or generic name Leuprolide (A LHRH agonist) or Flutamide.